MCR Billing Specialist

Tutera Senior Living & Health Care•Kansas City, MO

13d

About The Position

MCR Billing Specialist Tutera Senior Living & Health Care Are you a Medicare 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? We are seeking an experienced and detail-oriented Medicare Billing Specialist with expertise in Skilled Nursing Facility (SNF) billing. The ideal candidate will be responsible for the accurate and timely submission of Medicare claims, ensuring compliance with all CMS regulations, and following up on payments and denials. This role plays a critical part in the financial health of our facility and requires deep knowledge of Medicare Part A and B, PDPM, and MDS integration.

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, review, and submit Medicare Part A & B claims for skilled nursing residents.
Ensure timely and accurate billing in accordance with CMS and SNF-specific guidelines.
Verify resident insurance eligibility, including benefits and coverage under Medicare.
Monitor and reconcile claims for proper payment, and identify/resolve any discrepancies.
Track, appeal, and resolve denied or rejected claims efficiently.
Collaborate with MDS coordinators to ensure billing aligns with clinical documentation under PDPM.
Maintain current knowledge of Medicare regulations, SNF billing codes, and HIPAA compliance.
Communicate with Medicare MACs, community staff, and insurance providers as needed.
Generate aging reports and assist in collection efforts when required.
Support audits and provide documentation for compliance reviews.