HCBS Billing Specialist

Tutera Senior Living & Health Care•Kansas City, MO

About The Position

HCBS Billing Specialist Tutera Senior Living & Health Care Are you a Billing Professional seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU! What Will You Do in This Role? The HCBS Biller is responsible for accurately billing and submitting claims for Home and Community-Based Services (HCBS) provided to clients. This role ensures compliance with Medicaid, Medicare, and managed care organization (MCO) requirements, and performs timely follow-up on denied or unpaid claims. The HCBS Biller works closely with the community, case managers, county assistance staff and insurance companies to ensure maximum reimbursement for services rendered..

Requirements

A fire and passion for working with seniors
A flexible, fun, and energetic personality
Must possess detailed knowledge of Illinois Medicaid regulations
Must have prior experience with managing complex billing scenarios
High school diploma, or equivalent, required
Must have a minimum of 3-5 years of prior experience in billing in a LTC/SNF setting
Extensive knowledge of billing procedures for all payer types, including Medicare, Medicaid, private insurance, and others required
Proficiency with billing software and electronic medical record (EMR) systems required
Must be able to work well with others in a team environment
Proficiency in Microsoft Word, Excel, and Outlook required
Professional image in both appearance and behavior
Excellent written and oral communication skills

Nice To Haves

Associate or bachelor’s degree in a related field preferred

Responsibilities

Prepare and submit accurate billing claims for HCBS services to Medicaid, MCOs, and other payers.
Verify client eligibility and authorizations prior to billing.
Review service documentation for completeness and compliance before submitting claims.
Track claim status and resolve denials, rejections, or payment discrepancies in a timely manner.
Post payments and adjustments to client accounts in the billing system.
Communicate with providers, case managers, and payers to resolve billing issues.
Maintain accurate and organized billing records and documentation.
Stay up-to-date with HCBS billing regulations, Medicaid rules, and payer-specific requirements.
Generate and review reports to ensure timely claim submission and follow-up.
Support audits and compliance reviews as needed