Medicaid Biller

**This position requires experience in skilled nursing facility Medicaid AR billing

Verify Insurance, generate/review/submit Medicaid claims and billing

Claims: MSP, Hospice Medicaid Claims, Conditional Payment Claims

Knowledge of FISS

Knowledge of Triple Check Process

Be able to post payments received properly with all adjustments necessary.

Bill claims out with 90% accuracy

Monitor and submit Medicare ADR’s

AHT Experience a plus

The Medicaid Biller/Accounts Receivable Specialist is responsible for reviewing, preparing, and processing claims and charges for manual and/or electronic billing submission to Medicare, Medicaid and other Insurances.

Responsibilities

• Reviews, prepares, and processes claims and charges for manual and/or electronic billing submission to Medicare, Medicaid and Insurance.
• Works with facility business office managers (BOMs), assisting and providing support as needed.
• Focus is on claim resolution from initial billing through payment, including identifying and correcting billing errors/rejections and denials.
• Assists with collection efforts.
• Participates in monthly A/R reviews.
• Works with the BOM’s in facilities to ensure Month End Close is completed timely and accurately.
• Other assigned duties.

Education

Requires minimum high school diploma or equivalent.

Job Type: Full-time

Pay: $19.90 - $25.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Office

Ability to Relocate:

• Claremont, NC 28610: Relocate before starting work (Required)

Work Location: In person