Medicare Billing Specialist
healthcare nursing centerCharleston, IL
Medicare Billing Specialist
healthcare nursing centerCharleston, IL
9 days ago
Occupations
Billing and Posting ClerksMedical Records SpecialistsHealth Information Technologists and Medical RegistrarsIndustries
Nursing Care Facilities (Skilled Nursing Facilities)General Medical and Surgical HospitalsAll Other Miscellaneous Ambulatory Health Care ServicesAbout the role
Healthcare Nursing Center - Medicare Billing Specialist
Location: Charleston, Illinois (on-site)
Reports To: Billing Director
About the Opportunity:
The Medicare Billing Specialist is responsible for ensuring accurate and timely billing of all Medicare claims within a skilled nursing environment. This role requires deep knowledge of Medicare regulations and a high level of precision.
Key Responsibilities:
- Medicare Billing
- Prepare and submit Medicare Part A and Part B claims accurately and on time
- Ensure compliance with PDPM and all Medicare billing guidelines
- Verify documentation supports billing prior to submission
- Accuracy & Compliance
- Review claims for completeness and accuracy
- Identify and resolve billing discrepancies or missing information
- Stay up to date on Medicare regulations and changes
- Denials & Follow-UpManage Medicare claim rejections and denials
- Correct and resubmit claims promptly
- Work closely with AR team to ensure payment is received
- SystemsUtilize PointClickCare (PCC) for billing and claim management
- Maintain accurate records and documentation within systems
Qualifications:
- MUST have SNF Medicare billing experience 3+ years of Medicare billing experience in long-term care
- Strong understanding of PDPM and Medicare regulations
- Experience with PointClickCare (PCC) required
- Detail-oriented with strong accuracy and compliance focus
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JOB OVERVIEW
Experience level
Senior
Location
Charleston, IL
Occupation
Billing and Posting Clerks
Industry
Nursing Care Facilities (Skilled Nursing Facilities)
Posted
9 days ago
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