Medical Biller

Job Description

Job Description

Los Palos Post-Acute Care Center, located in San Pedro, CA, is looking to hire an experienced Medicare Biller / Collector with a strong background in billing / collections in a skilled nursing environment.

This position will help to support 3 nursing facilities in a centralized billing environment. The Medicare Biller / Collector will be responsible for the coordination of collecting money from Medicare and the Medicare part A and part B coinsurance.

They will support the function of Medicare and Medicare coinsurance collections to give it more focus and establish efficient methods of collecting.

What You Will Do :

• Responsible to bill Medicare, Managed Care, Medical, Co-Insurance, and various share of costs.
• Setup new admissions medical records system to bill accurately
• Review billing documentation to ensure completeness, including accuracy of Medicare claims
• Manage submission of claims to Medicare and Medicare coinsurance to medical, managed medical, supplemental plans
• Manage calls to Insurance Companies to follow up on coinsurance claims / documentation process
• Review payments for the accuracy or appeal claim paid incorrectly
• Prepare Provider Dispute Resolutions
• Ensure billing complies with CMS requirements
• Assist in creating reports for management
• Research & resolve account discrepancies
• Audit the daily census, do necessary corrections, and update payer changes.
• Work with Business Office staff to ensure accuracy in last covered days, HIPPS changes, IPA, etc.
• Attend various meetings with the facility & corporate staff

Requirements :

• 2-3 years of billing & collecting experience in a long-term healthcare environment
• Excellent team building & leadership skills required
• Must have knowledge of Medicare, Medicaid, pending, managed care & share of cost regulations

Benefits :

• Competitive pay scale based on your experience
• Great benefits including medical, dental, Rx, and vision coverage, 401K, life and disability insurance.
• Paid time off
• Dedicated and local leadership support
2 days ago