SNF Medicare Biller

Assembly Health

4d•$30 - $35•Remote

About The Position

We are seeking a candidate with proven experience in SNF Medicare billing processes and strong communication and organizational skills. The primary responsibility of this role is to bill Medicare for multiple facilities and follow up on all claims until they are fully paid. The ideal candidate will be a team player, a quick learner, and proficient in writing professional emails. Strong time management and problem-solving abilities are essential, including knowing when and how to escalate issues. This is a full-time, exempt position reporting to our Billing Manager.

Requirements

Strong communication and organizational skills.
Ability to write professional emails and communicate clearly with internal and external stakeholders.
Problem-solving and time management skills to handle unexpected situations.
Ability to work independently and collaboratively within a team.
DDE: Entering, correcting, and canceling regular claims, no pays, and MSPs; managing claims status and denials; audit tracking.
Inovalon: Submitting and working claims, interpreting 999/277 error and status reports, and pulling remittances using PCPrint.
Billing Software NCS and PCC: Navigating reports and billing details, submitting claims and adjustments, and managing MSP claims.

Responsibilities

Bill Medicare for multiple skilled nursing facilities and ensure timely follow-up on all claims until payment is received.
Thorough understanding of Medicare guidelines, including eligibility criteria.
Experience interacting with Medicare Administrative Contractors (MACs) regarding remittances, disputes, and appeals.
Comprehensive knowledge of MCR coding and UB billing.
Familiarity with Medicare Secondary Payer (MSP) rules and skilled/non-skilled no-pay scenarios.
Knowledge of Common Working Files (CWF), credit balance reports, and the appeals process for prepayment ADRs, RAC audits, and denials.
Other duties as assigned or required by the business