Billing Coordinator, Medicare / HMO

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

• 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.

Some of the Benefits

• Competitive salary and comprehensive benefits package.*
• Opportunities for professional development and ongoing training.*
• Supportive work environment with collaborative team members.*
• Chance to make a meaningful difference in patient care and financial operations.

Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.#LI-FP1