Medicare Biller

Medicare Biller Newton, KS 67114 Full-time Full-time Are you looking to be part of a detail-oriented, fast-paced healthcare team? At NMC Health, we're proud to set an award-winning standard for healthcare in the Wichita Metro Area. We are currently seeking a Medicare Biller to join our Business Office team. In this role, you will be responsible for managing Medicare and Medicare Advantage billing processes, ensuring accurate and timely claim submission, follow-up, and resolution. This position plays a critical role in maintaining the financial health of the organization through effective revenue cycle management. The ideal candidate is knowledgeable, self-motivated, and thrives in a fast-paced environment where teamwork and attention to detail are essential. The Medicare Biller is responsible for preparing, reviewing, and submitting claims in a timely and accurate manner using billing software systems. This role includes resolving Medicare accounts through editing, suspension, and RTP status, reconciling errors and rejections, and navigating insurance portals to ensure proper reimbursement. This position works closely with hospital departments to ensure timely claim resolution, responds to billing inquiries, and assists with incoming patient and guarantor calls. The Medicare Biller must stay current with CMS billing guidelines and regulations and apply industry-standard coding and reimbursement knowledge to daily tasks.

Schedule:

On-site position (not remote)

Hours:

No weekends, no holidays, no call

Key Responsibilities:

Prepare, review, and submit Medicare and Medicare Advantage claims accurately and timely Resolve claim issues including edits, denials, RTP status, and rejections Reconcile payment discrepancies and correct billing errors Navigate insurance portals (Availity, UHC, etc.) for claim status and follow-up Communicate with hospital departments to ensure timely claim resolution Respond to incoming patient and guarantor phone calls regarding billing questions Maintain compliance with CMS billing guidelines, rules, and regulations Interpret remittance advice and apply appropriate claim adjustments

QUALIFICATIONS

Education:

High school diploma or GED required College or vocational training preferred

Experience:

Minimum of two (2) years of Medicare insurance billing and follow-up experience required Experience with Fiscal Intermediary Standard System (FISS) and Direct Data Entry (DDE) preferred Meditech experience preferred Customer service experience required

Knowledge & Skills:

Knowledge of current CMS billing guidelines and reimbursement procedures required Understanding of medical billing terminology and reimbursement processes (CARC, RARC, CLP, etc.) CPT and ICD-10 coding knowledge preferred Knowledge of FISS claim processing system and DDE functions preferred Strong attention to detail with excellent organizational skills Ability to apply logic and problem-solving skills in daily tasks Ability to manage multiple priorities and meet deadlines Excellent written and verbal communication skills Strong customer service skills when interacting with patients and families Basic math skills required Proficiency with computers, Microsoft Office, and 10-key data entry

Licensure, Registration, or Certification:

None required Join our Team! NMC Health offers a family friendly environment with the latest technology and a knowledgeable staff. Here you'll find all departments work together as a team to live out our core values: respect, excellence, service, transparency, and trust.