Billing Clerk for Long Term Care

The Highlands at Owasso; Owasso (OK); Vor Ort; USD 40.000 - 52.000; Vollzeit

Benefits dieser Stelle

Health Insurance

Paid Time Off

Professional Development

Zusammenfassung

The Highlands at Owasso is seeking a Medicaid & Medicare Billing Clerk to join our business office team. You will manage Medicare/Medicaid billing for our long-term care residents, ensure timely claims submission, correct denials, and accurate posting of payments.

Ideal candidates are detail-oriented, organized, and experienced with PDPM and payer guidelines, with proficiency in PointClickCare and strong communication skills. On-site collaboration with clinical and admissions teams is essential.

Qualifikationen

• Experience with Medicaid and Medicare billing for long-term care
• Strong knowledge of Medicare Part A/Part B, Medicaid, PDPM and payer guidelines
• Proficient with PointClickCare and billing software
• Excellent attention to detail and organizational skills
• Ability to manage multiple priorities and meet deadlines

Aufgaben

• Prepare, review, and submit Medicare Part A, Part B, and Medicaid claims for residents
• Verify eligibility and coverage for Medicare, Medicaid, and secondary payers
• Monitor claims through billing cycle and follow-up on denials
• Research and correct claim errors, rejections, and denials
• Post payments and adjustments and reconcile accounts
• Maintain accurate resident billing files and documentation
• Collaborate with clinical/admissions teams on MDS and PDPM-related billing
• Communicate with payers, state agencies, and internal departments
• Assist with month-end closing and reporting
• Ensure compliance with regulations
• Bill for ancillary services such as labs, X-rays, wounds

Kenntnisse

Medicaid & Medicare billing

Attention to detail

Organizational skills

Multitasking

Communication skills

Problem-solving

Ausbildung

High school diploma

Billing or healthcare administration training

Tools

PointClickCare

Jobbeschreibung

We are a dedicated long-term care provider committed to delivering exceptional support and compassionate service to our residents. Our team works collaboratively to ensure accurate, timely, and compliant billing practices that support the financial health of our organization. We are seeking a detail-oriented Medicaid & Medicare Billing Clerk to join our business office team.

Position Summary

The Medicaid & Medicare Billing Clerk is responsible for managing all aspects of Medicare and Medicaid billing for our long-term care facility. This role ensures claims are submitted accurately and timely, payments are posted correctly, and denials are resolved efficiently. The ideal candidate is organized, proactive, and experienced in long-term care reimbursement.

Key Responsibilities

• Prepare, review, and submit Medicare Part A, Part B, and Medicaid claims for long-term care residents

• Verify eligibility and coverage for Medicare, Medicaid, and secondary insurance payers

• Monitor claims through the entire billing cycle, ensuring timely follow-up and resolution

• Research and correct claim errors, rejections, and denials

• Post payments, adjustments, and reconcile accounts

• Maintain accurate resident billing files and documentation

• Collaborate with clinical and admissions teams to ensure accurate MDS and RUG/PDPM-related billing

• Communicate with insurance providers, state agencies, and internal departments

• Assist with month-end closing processes and reporting

• Ensure compliance with federal, state, and payer-specific regulations

• Billing for ancillary services such as labs, xrays, wounds etc.

Qualifications

• Previous experience in Medicaid and Medicare billing, preferable in a long-term care or SNF setting

• Strong understanding of Medicare Part A/Part B, Medicaid, PDPM, and payer guidelines

• Proficiency with billing software PointClickCare

• Excellent attention to detail and organizational skills

• Ability to manage multiple priorities and meet deadlines

• Strong communication and problem-solving abilities

• High school diploma required; additional billing or healthcare administration training preferred

What We Offer

• Competitive compensation

• Health, dental, and vision insurance

• Paid time off and holidays

• Opportunities for professional development

• Supportive and collaborative work environment