Medicare Billing Specialist

Tutera Senior Living & Health Care • Kansas City, MO

6d

About The Position

Tutera Senior Living & Health Care is 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

• 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

Nice To Haves

• A fire and passion for working with seniors
• A flexible, fun, and energetic personality
• Associate or bachelor’s degree in a related field preferred
• Professional image in both appearance and behavior
• Excellent written and oral communication skills

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.

Benefits

• Advanced Pay
• Financial Literacy Classes
• Employee Assistance Program offering Mental Health Resources, Legal Guidance, Financial Information, and more!
• Child Care Discount
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• 401(k) for Eligible Locations
• Tuition Reimbursement
• Paid Time Off
• Holiday Pay
• Exclusive Tutera Perks
• Tutera University
• Advancement Opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED