Managed Care & Medicare Billing Specialist

Cantex Continuing Care Network; Carrollton (TX); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Competitive pay

Performance-based bonus opportunities

Health, dental, and vision insurance

Supplemental benefits

401(k) with company match

Paid time off

Career growth opportunities

Supportive company culture

Job summary

Cantex Corporate in Carrollton, TX is seeking a Managed Care / Medicare Billing Specialist to oversee accounts receivable, billing, claims processing, and collections across multiple Skilled Nursing Facilities in Texas. This role focuses on optimizing the managed care and Medicare revenue cycle by ensuring accurate claims submission, timely reimbursement, denial resolution, and regulatory compliance.

The Specialist drives cash flow, reduces aging receivables, minimizes denials, and supports

Qualifications

• High school diploma required; college coursework preferred.
• Prior managed care and Medicare billing experience in SNF.
• Strong knowledge of healthcare billing software such as AHT or HealthMEDX Vision.
• Understanding of Medicare Part A billing and long-term care revenue cycle.

Responsibilities

• Process monthly managed care and Medicare Part A claims for multiple SNFs.
• Create, submit, track, and reconcile managed care and Medicare claims.
• Analyze and resolve denied, rejected, or underpaid claims.
• Verify Medicare eligibility, benefit periods, skilled coverage days, and payer requirements.
• Post payments and ensure accurate reimbursement reporting.
• Communicate with providers, facilities, payers, and internal stakeholders regarding billing questions.

Skills

Managed care billing

Medicare billing

Healthcare billing software

Medicare Part A

ICD-9/ICD-10 coding

Analytical / organizational

Team oriented

Communication skills

Education

High school diploma

College degree preferred

Tools

American HealthTech (AHT)

HealthMEDX Vision

Job description

Cantex Corporate in Carrollton, TX is seeking a Managed Care / Medicare Billing Specialist to oversee accounts receivable, billing, claims processing, and collections across multiple Skilled Nursing Facilities in Texas. This role focuses on optimizing the managed care and Medicare revenue cycle by ensuring accurate claims submission, timely reimbursement, denial resolution, and regulatory compliance.

The Specialist drives cash flow, reduces aging receivables, minimizes denials, and supports