Medicare Billing Specialist

Medicare Billing Specialist Location: Charleston, Illinois (on-site) Reports To: Billing Director About the Opportunity The Medicare Billing Specialist is responsible for ensuring accurate and timely billing of all Medicare claims within a skilled nursing environment. This role requires deep knowledge of Medicare regulations and a high level of precision. Key Responsibilities Medicare Billing Prepare and submit Medicare Part A and Part B claims accurately and on time Ensure compliance with PDPM and all Medicare billing guidelines Verify documentation supports billing prior to submission Accuracy & Compliance Review claims for completeness and accuracy Identify and resolve billing discrepancies or missing information Stay up to date on Medicare regulations and changes Denials & Follow-Up Manage Medicare claim rejections and denials Correct and resubmit claims promptly Work closely with AR team to ensure payment is received Systems Utilize PointClickCare (PCC) for billing and claim management Maintain accurate records and documentation within systems Qualifications MUST have SNF Medicare billing experience 3+ years of Medicare billing experience in long-term care Strong understanding of PDPM and Medicare regulations Experience with PointClickCare (PCC) required Detail-oriented with strong accuracy and compliance focus #J-18808-Ljbffr Serenity Estates