Job Opportunities API

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