Medical Billing Specialist - Full Time
Description
This job's time zone is Eastern.
Our client is seeking an experienced Medical Billing Specialist to join their healthcare team in Basking Ridge, New Jersey. In this role, you will handle Medicare billing processes for skilled nursing facilities, ensuring compliance and accuracy in claims and collections. This is a Contract to permanent position offering an opportunity to contribute to the financial operations of senior living communities.
Medicaid Medical Biller Responsibilities:
• Manage end-to-end accounts receivable processes and collections for skilled nursing facilities.
• Submit, monitor, and resolve Medicare Part A claims, including corrections, status checks, and eligibility verifications.
• Handle billing for Medicare Part B, hospice care, and outpatient services with attention to payer status.
• Investigate and follow up on unpaid, underpaid, or rejected claims, including appeals and reconsiderations.
• Maintain accurate coding and documentation to ensure compliance with Medicare regulations.
• Collaborate with clinical, business office, and revenue cycle teams across multiple facilities to optimize billing operations.
• Monitor accounts receivable aging and escalate high-risk accounts when necessary.
• Utilize systems such as PointClickCare, Inovalon, and MatrixCare to manage billing activities.
• Ensure timely and accurate submissions by verifying all claim data for completeness.
• Coordinate with nursing leadership and business offices to address discrepancies and improve processes.
Requirements
• At least 2 years of Medicare Part A and Medicare Part B billing
• Demonstrated ability to manage accounts receivable aging, denials, and appeals.
• Experience with medical coding systems such as ICD-10 and CPT.