Billing Clerk for Long Term Care

The Highlands at Owasso; Owasso (OK); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Paid time off and holidays

Opportunities for professional develop

Supportive and collaborative work环境

Job summary

The Highlands at Owasso is seeking a detail-oriented Medicaid & Medicare Billing Clerk to join our business office team. The role manages Medicare and Medicaid billing for our long-term care residents, submits claims accurately, posts payments, resolves denials, and supports month-end close.

You will verify eligibility, coordinate with clinical and admissions teams on MDS and PDPM-related billing, communicate with insurers and state agencies, and ensure compliance with federal and payer

Qualifications

• Experience in Medicaid and Medicare billing, preferably in 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.

Responsibilities

• 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 billing cycle, follow up on claims and resolve denials.
• 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 on MDS and PDPM-related billing.
• Communicate with insurers, state agencies, and internal departments.
• Assist with month-end closing and reporting.
• Ensure compliance with federal, state, and payer-specific regulations.
• Billing for ancillary services such as labs, xrays, wounds etc.

Skills

Medicaid & Medicare billing

Attention to detail

Multi-tasking

Communication skills

Education

High school diploma

Healthcare billing training (preferred)

Tools

PointClickCare

Job description

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, preferably 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