Pay Growth
?
out of 5
Not enough data
Not enough info to score pay or growth
Medicare/HMO Billing specialist
Job
Brookside Multicare Nursing Center
Smithtown, NY (In Person)
$85,280 Salary, Full-Time
Review key factors to help you decide if the role fits your goals.
Job Security
?
out of 5
Not enough data
Calculating job security score...
Total Score
68
out of 100
Average of individual scores
Skill Insights
Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.
Job Description
Job Description A 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 receivable accounts, 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. Key Responsibilities Prepare and submit Medicare Part A and Part B claims timely and accurately. Bill Managed Medicare, HMO, and secondary insurance claims. Review census, admissions, discharges, payer changes, and authorizations daily. Verify eligibility, coverage, benefit periods, and payer requirements. Monitor UB-04 claim submissions and electronic billing transmissions. Follow up on rejected, denied, or unpaid claims promptly. Research and resolve billing discrepancies and claim edits. Work closely with MDS, therapy, and admissions departments to ensure accurate reimbursement. Review Medicare notices, demand bills, and payer correspondence. Maintain documentation supporting billed services and skilled coverage. Monitor aging reports and assist with collections for outstanding balances. Track authorizations and recertifications for Managed Care plans. Ensure compliance with Medicare regulations, CMS guidelines, and facility policies. Assist during audits, ADRs, RAC reviews, and insurance requests. Maintain accurate resident billing records within the billing system. Communicate with residents and families regarding Medicare coverage and patient responsibility when needed. Train and support backup staff for billing functions. Participate in month-end closing and accounts receivable reporting. Recommended Skills Knowledge of Medicare Part A, Part B, PDPM, and Managed Care billing Understanding of SNF billing regulations and reimbursement Experience with electronic billing systems Strong organizational and follow-up skills Ability to analyze remittances and resolve claim issues Excel and reporting knowledge Attention to detail and deadline management