Billing Coordinator, Medicare / HMO
Job 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
- 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
Meet Your Recruiter
Fran Philips
Vice President, Healthcare Recruitment
Fran is a seasoned recruiter who joined Tal in 2008, after a long career in medical billing for multi-specialty practices including dermatology, dental, and ophthalmology.
Learn more about Fran, Tal Healthcare Employee Biography
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Billing Coordinator, Medicare / HMO
Job 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
- 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
Meet Your Recruiter
Fran Philips
Vice President, Healthcare Recruitment
Fran is a seasoned recruiter who joined Tal in 2008, after a long career in medical billing for multi-specialty practices including dermatology, dental, and ophthalmology.
Learn more about Fran, Tal Healthcare Employee Biography