Medicare & Medicaid Biller

Legacy Nursing and Rehabilitation•, TX

4d•Hybrid

About The Position

Two Facilities. One Mission. Make Every Claim Count. Location: Bryan and Cameron, Texas Position Type: Full-Time Reports To: Corporate Billing Director Join Team Legacy! Are you an experienced Medicare and Medicaid biller who knows how to keep claims moving, resolve denials, and protect the bottom line? Legacy Management Group is looking for a detail-driven Corporate Medicare & Medicaid Biller to support two skilled nursing facilities. In this important corporate role, you will help ensure claims are accurate, payments are timely, and billing challenges are resolved quickly. You will work closely with facility Business Office Managers, administrators, MDS staff, and clinical teams to strengthen collections and keep accounts on track.

Requirements

Previous Medicare and Medicaid billing experience in a nursing home or skilled nursing facility is required.
Working knowledge of skilled nursing claims, reimbursement, accounts receivable, and denial resolution.
Experience using billing software, electronic claims systems, and payer portals.
Proficiency in Microsoft Excel.
Strong attention to detail and accuracy.
The ability to manage multiple deadlines and priorities across two locations.
Excellent communication, problem-solving, and follow-through skills.

Nice To Haves

Experience with Inovalon, Point Click Care and Texas Medicaid is preferred.

Responsibilities

Manage Medicare and Medicaid billing and collections for two skilled nursing facilities.
Review census information, payer details, eligibility, and supporting documentation for accuracy.
Prepare, review, and submit claims within required payer deadlines.
Monitor claim statuses and resolve rejected, denied, or unpaid claims.
Review accounts receivable aging and consistently follow up on outstanding balances.
Submit corrected claims, adjustments, and appeals as needed.
Partner with MDS and clinical teams to resolve documentation or assessment issues affecting reimbursement.
Work with facility Business Office Managers on Medicaid eligibility, pending applications, patient liability, and payer changes.
Post and reconcile payments and remittance information.
Investigate payment discrepancies and identify potential overpayments.
Maintain clear account notes and provide regular updates on collections, aging, and billing barriers.
Support month-end closing, audits, and other billing-related requests.
Ensure compliance with Medicare, state Medicaid, and resident privacy requirements.