Medicare & Managed Care Billing Specialist

ClearView Healthcare Management; Louisville (KY); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Full-time stability

Bonus structure

Healthcare benefits

401(k) retirement plan

Paid time off

Flexible scheduling

Wellness program

Career growth

Job summary

ClearView Healthcare Management in Louisville, KY is seeking a Skilled Nursing Home Billing Specialist with Medicare billing experience. This full-time role focuses on accurate claims submission, eligibility verification, and collaboration with the facility's Business Office Manager to balance daily census.

You will bill Medicare and Managed Care payors, monitor claim status, and participate in month-end close while staying current with Medicare billing practices.

Qualifications

• High school diploma is required.
• At least 1 year of Medicare/Managed Care billing experience.
• BOM experience is a plus.
• Knowledge of managed insurance's timely filing deadlines.
• Strong attention to detail and organizational skills.
• Ability to prioritize and meet deadlines in a fast-paced environment.
• SNF billing experience is a plus.
• Excellent communication skills and respect for confidentiality.
• Integrity, discretion, and professionalism.

Responsibilities

• Verify patient eligibility when needed.
• Collaborate with the facility's Business Office Manager by reviewing and balancing the daily census.
• Prepare and review patient claims for accuracy and completeness, resolving discrepancies.
• Bill claims to Medicare and Managed Care payors (primary and secondary).
• Track claim status and resolve rejections daily.
• Work on Medicare/Managed Aging daily.
• Participate in the month-end close process.
• Spot billing trends and carrier-related issues.
• Stay up-to-date on Medicare and insurance billing practices through ongoing education.
• Take on additional duties as assigned.

Skills

Medicare/Managed Care billing

BOM experience

Timely filing deadlines

Attention to detail

Organizational skills

Prioritization

SNF billing

Communication skills

Confidentiality

Integrity

High school diploma

Education

High school diploma

Job description

ClearView Healthcare Management in Louisville, KY is seeking a Skilled Nursing Home Billing Specialist with Medicare billing experience. This full-time role focuses on accurate claims submission, eligibility verification, and collaboration with the facility's Business Office Manager to balance daily census.

You will bill Medicare and Managed Care payors, monitor claim status, and participate in month-end close while staying current with Medicare billing practices.