What are the responsibilities and job description for the Medical Biller position at Primex Consulting LLC?
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