Medicare Billing Specialist – SNF, PDPM & PCC Expert

Healthcare Nursing Center; Charleston (IL); On-site; USD 45,000 - 65,000; Full time

Job summary

Healthcare Nursing Center in Charleston, Illinois (on-site) is seeking a Medicare Billing Specialist to manage accurate and timely submission of Medicare Part A and Part B claims. You will ensure compliance with PDPM and Medicare regulations while verifying supporting documentation.

Responsibilities include addressing denials, following up with the AR team to secure payment, and maintaining precise records in PCC and related systems. A strong attention to detail is essential.

Qualifications

• Must have SNF Medicare billing experience.
• Minimum 3+ years Medicare billing in long-term care.
• Solid understanding of PDPM and Medicare regulations.
• Experience with PCC required.
• Detail-oriented with strong accuracy and compliance.

Responsibilities

• Prepare and submit Medicare Part A and Part B claims accurately and on time.
• Verify documentation supports billing prior to submission.
• Review claims for completeness and accuracy; resolve discrepancies.
• Manage Medicare denials and follow-up; resubmit corrected claims.
• Collaborate with AR team to ensure timely payment.
• Maintain and update records in PCC and related systems.

Skills

SNF Medicare billing

PDPM regulations

Attention to detail

Tools

PointClickCare (PCC)

Job description

Healthcare Nursing Center in Charleston, Illinois (on-site) is seeking a Medicare Billing Specialist to manage accurate and timely submission of Medicare Part A and Part B claims. You will ensure compliance with PDPM and Medicare regulations while verifying supporting documentation.

Responsibilities include addressing denials, following up with the AR team to secure payment, and maintaining precise records in PCC and related systems. A strong attention to detail is essential.