Medicare Billing Specialist
Healthcare Nursing Center
Job Description
Job Description
Medicare Billing Specialist
Location: Charleston, Illinois (on-site)
Reports To: Billing Director
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 ResponsibilitiesMedicare 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
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
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