Description

Our client, a personalized skilled nursing and rehabilitation care services facility specializing in long-term care services, is hiring a Billing Coordinator, Medicare / HMO to streamline their billing operations and ensure accurate revenue cycle management. The Billing Coordinator, Medicare / HMO plays a vital role in managing accounts receivable, processing claims, and coordinating collections within a long-term care environment. This position offers an excellent opportunity to contribute to efficient financial operations while working closely with patients, families, and administrative staff in a dynamic setting.

Responsibilities

• Enter patient demographic information into billing software accurately and timely.
• Submit claims to Medicare, Medicaid, insurance providers, and private payers and ensure they are processed without delay.
• Review and resolve denied or rejected claims, re-submit as necessary, and correct billing codes to ensure proper reimbursement.
• Monitor Accounts Receivable aging reports, follow up on outstanding balances, and implement effective collection strategies.
• Communicate with patients, responsible parties, attorneys, and conservators concerning billing issues, payment plans, and Medicaid application requests.
• Manage patient/resident trust funds and maintain confidential files in accordance with federal and state regulations.
• Collaborate with interdisciplinary teams and external partners, including attorneys and government agencies, to facilitate smooth billing processes.
• Assist in Medicaid application processes and follow-up to ensure timely approval.
• Keep abreast of Medicare, Medicaid, and insurance policy updates affecting billing and claims submission.

Requirements

Requirements

Requirements

• High School diploma or equivalent; additional medical billing and coding training preferred.
• Minimum of 2 years of experience in billing within a nursing home, SNF, or long-term care facility.
• Strong knowledge of accounts receivable management, billing procedures, Medicare, Medicaid, insurance claims, and private collections.
• Proven ability to process collection letters, refer collection matters, and work with legal entities when necessary.
• Excellent communication skills and assertiveness in debt collection efforts.
• Capable of managing confidential patient/resident information and financial data in compliance with regulatory standards.