Medicare Billing Specialist
healthcare nursing centerCharleston (IL)
Medicare Billing Specialist
Posted 9 days ago
healthcare nursing centerCharleston (IL)
SENIORITY
Senior
About the role
Healthcare Nursing Center - Medicare Billing Specialist
Location: Charleston, Illinois (on-site)
Reports To: Billing Director
About the Opportunity:
The Medicare Billing Specialist is responsible for ensuring accurate and timely billing of all Medicare claims within a skilled nursing environment. This role requires deep knowledge of Medicare regulations and a high level of precision.
Key Responsibilities:
- Medicare Billing
- Prepare and submit Medicare Part A and Part B claims accurately and on time
- Ensure compliance with PDPM and all Medicare billing guidelines
- Verify documentation supports billing prior to submission
- Accuracy & Compliance
- Review claims for completeness and accuracy
- Identify and resolve billing discrepancies or missing information
- Stay up to date on Medicare regulations and changes
- Denials & Follow-UpManage Medicare claim rejections and denials
- Correct and resubmit claims promptly
- Work closely with AR team to ensure payment is received
- SystemsUtilize PointClickCare (PCC) for billing and claim management
- Maintain accurate records and documentation within systems
Qualifications:
- MUST have SNF Medicare billing experience 3+ years of Medicare billing experience in long-term care
- Strong understanding of PDPM and Medicare regulations
- Experience with PointClickCare (PCC) required
- Detail-oriented with strong accuracy and compliance focus
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
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Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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