Medicare Billing Specialist - Hybrid

Vaco; Saint Clair Township (OH); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health and dental insurance

401(k) plan with company match

Paid time off

Job summary

Vaco by Highspring is seeking a Skilled Billing Coordinator to join a healthcare billing team in Hamilton, OH. You will manage Medicare Part A/B billing, insurance accounts receivable, payment posting, and reconciliations in a fast-paced environment.

The role requires experience in healthcare billing, strong analytical skills, and attention to detail. After initial onsite training, a hybrid schedule is available, with 2–3 days in the office, plus competitive benefits.

Qualifications

• High school diploma or equivalent required.
• At least 1 year of experience in a billing specialist or related healthcare billing position.
• Experience with skilled nursing, long-term care, or facility-based claims preferred.
• Working knowledge of Medicare, Medicaid, managed care, and commercial insurance billing requirements.
• Hands-on experience with insurance accounts receivable, collections, payment posting, claim follow-up, and account reconciliation.

Responsibilities

• Manage Medicare Part A and Part B, managed care billing, and related accounts receivable.
• Ensure patient and client registrations are accurate and complete within the billing system.
• Review billing for accuracy and completeness and submit claims within established monthly deadlines.
• Post EFT payments daily and reconcile payments against billing systems.
• Review outstanding accounts receivable, investigate unpaid balances, and follow up with insurance payers to resolve claims.
• Research and resolve denied, rejected, or unclear claims by identifying issues and determining appropriate next steps.
• Process account adjustments, credits, refunds, and payer recoupments per guidelines.
• Reconcile EFT/ACH payments and complete weekly and month-end balancing.
• Monitor outstanding credits and resolve government payer credits.
• Coordinate with Medicaid and private-pay billing team members to resolve discrepancies.
• Assist with census reviews, ancillary billing, audits and special projects.
• Provide backup support for other billing functions as needed.
• Maintain clear communication with insurance companies and stakeholders.

Skills

Healthcare billing

Medicare billing

Accounts receivable

Analytical thinking

Detail oriented

Education

High school diploma

Tools

PCC / EHR

Job description

Vaco by Highspring is seeking a Skilled Billing Coordinator to join a healthcare billing team in Hamilton, OH. You will manage Medicare Part A/B billing, insurance accounts receivable, payment posting, and reconciliations in a fast-paced environment.

The role requires experience in healthcare billing, strong analytical skills, and attention to detail. After initial onsite training, a hybrid schedule is available, with 2–3 days in the office, plus competitive benefits.