Are you seeking a rewarding career in Healthcare? We are looking for an experienced MCO Biller to join our dynamic team of professionals.

Responsibilities include but are not limited to :

• Collect, enter and process primary and / or secondary claim information on departmental cycle for multiple SNF locations.
• Monitor verifications and authorizations obtained and ensure complete service spans are covered.
• Demonstrates knowledge of payer requirements, especially MMAI and ICP payers.
• Attention to detail and follow through on denied claims and the ability to draft appeal letters.
• Proficiency in electronic billing systems
• Clear understanding of HIPAA regulations
• Working knowledge of healthcare revenue cycle processes.
• Timely submission of SNF claims to various insurance companies.
• Prepare and generate clean claims for submission to all payor types, including third party payors, Medicare and Medicaid.
• Outstanding communication skills and the ability to develop and maintain working relationships with internal / external providers to ensure billings and collections procedures are current.
• Oversee authorization process to ensure accuracy
• Follow up on all outstanding A / R

Qualifications :

• High School Diploma / GED or equivalent required; Associates Degree or Medical Billing Certificate preferred.
• Two (2) years of experience in Managed Care billing, denials review, and accounts receivable processes required.
• A minimum of two (2) year years of Medicaid and Managed Care Billing in a Skilled Nursing Facility.

What we offer : Our organization offers employees far more than just a place to work. Rather, we are a company you can be proud of, where you’ll feel good about devoting your time and your talents.

We also offer great benefits including :

• Medical, Vision, & Dental
• 401K with Employer Match
• Free Life Insurance
• Voluntary Benefits
• Sick and Vacation Time package
• Holiday Pay
• Tuition Reimbursement
• Internal Growth Opportunities
• Proactive Health Management Wellness Program (PHMP)
• Employee Assistance Program

We are an equal opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sexual orientation, gender, gender identity, expression or orientation, genetic information, national origin, age, disability, or status as a disabled or Vietnam-era veteran.

When completing this application, you may exclude information that would disclose or reference this information, or any information relating to any other status protected by federal, state, or local law.

Legacy Healthcare never requests or sends money, payment transfers, direct deposit, or Social Security Number (SSN) information as part of their recruitment process.

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Last updated : 2024-05-13