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Medicare Billing Specialist

ClearView Healthcare Management
Louisville, KY Full Time
POSTED ON 3/30/2025 CLOSED ON 4/5/2025

What are the responsibilities and job description for the Medicare Billing Specialist position at ClearView Healthcare Management?

ClearView Healthcare Management LLC is currently hiring a Skilled Nursing Home Billing Specialist who has experience billing claims to Medicare Insurance payors.

Work Hours & Benefits:

  • Full-time position
  • Healthcare benefits
  • 401K
  • Career Growth Opportunities: We prioritize internal growth and advancement.
  • Wellness Program
  • Paid time off
  • Flex-Schedule


Medicare Billing Specialist Job Responsibilities:

  • Check/confirm PT Eligibility if needed
  • Assist facility Business Office Manager in balancing the daily census by reviewing patient census to check for proper payor setup and completeness and make corrections accordingly.
  • Prepare and review patient claims for accuracy and completeness and resolve any discrepancies.
  • Bills patient claims to Medicare and Managed Care primary and secondary payors
  • Monitor claim status and research all rejections and denials
  • Participate in the month-end close process
  • Identify trends and carrier issues relating to billing
  • Participate in professional educational opportunities to keep current on Medicare and insurance billing and reimbursement procedures.
  • Other duties as assigned


Medicare Billing Specialist Qualifications/Skills:

  • Integrity, discretion, and respect for confidentiality and privacy
  • Good communication
  • Ability to prioritize and work under pressure
  • Time management
  • Organizational skills
  • Attention to detail


Education, Experience, & Licensing Requirements:

  • High school graduate
  • Experience working in an office setting is preferred.
  • Medicare billing experience is preferred.
  • Willing to train!


EQUAL OPPORTUNITY EMPLOYER

The Facility is an equal-opportunity employer. The Facility does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Facility will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. A key part of this policy is to provide equal employment opportunity regarding all terms and conditions of employment and in all aspects of a person's relationship with the Facility including recruitment, hiring, promotions, upgrading positions, conditions of employment, compensation, training, benefits, transfers, discipline, and termination of employment.

#HPJ
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