LTC Managed Care Billing Specialist - Claims

Priority Management; Dallas (TX); On-site; USD 40,000 - 60,000; Full time

Job summary

Priority Management is hiring a Long Term Care Managed Care Billing Specialist in Dallas, TX, to join an established team of professionals. The role involves accurate submission and follow-up on claims, ensuring compliance and maximum reimbursement.

The ideal candidate will have a high school diploma with at least 2 years of medical billing experience, strong problem-solving skills, and proficiency with billing software and Microsoft Office. The position is crucial for maintaining service excellence and compliance.

Qualifications

• 2+ years of experience in medical billing and collections.
• Exceptional problem-solving abilities related to claims.
• Knowledge of HIPAA compliance and requirements.

Responsibilities

• Prepare and transmit electronic claims accurately.
• Verify insurance coverage for claim accuracy.
• Identify secondary and tertiary payers as needed.
• Review and apply payments against related accounts.
• Communicate with BOMs and RAMs to resolve claims.

Skills

Analytical skills

Problem solving

Customer service

Time management

Detail orientation

Education

High School diploma or general education degree

Tools

Microsoft Office Suite

Billing software

Texas Medicaid

Job description

Priority Management is hiring a Long Term Care Managed Care Billing Specialist in Dallas, TX, to join an established team of professionals. The role involves accurate submission and follow-up on claims, ensuring compliance and maximum reimbursement.

The ideal candidate will have a high school diploma with at least 2 years of medical billing experience, strong problem-solving skills, and proficiency with billing software and Microsoft Office. The position is crucial for maintaining service excellence and compliance.