Skilled Nursing Medicare Part A Billing Specialist

Medicare Part A BillerThe Medicare Part A Biller is responsible for the accurate and timely billing of Medicare Part A claims, ensuring compliance with federal regulations, payer requirements, and organizational policies. This position reviews patient accounts, verifies coverage, prepares and submits claims, resolves billing issues, follows up on unpaid accounts, and works closely with clinical and administrative staff to maximize reimbursement and maintain compliance.Key responsibilities include:Prepare and submit Medicare Part A claims accurately and within required deadlinesVerify resident eligibility, insurance coverage, authorization requirements and benefitsEnsure billing compliance with Medicare guidelines, CMS regulations, and payer-specific requirementsReview MDS and PDPM data to support billing accuracyIdentify, research, and resolve claim rejections, denials, and payment discrepanciesProcess admissions, discharges, payer changes, and leave of absence billingMonitor Medicare accounts receivable and follow up on outstanding claimsCollaborate with admissions, nursing, therapy, MDS, and business office teamsReconcile payments, remittances, and account balances.Assist with audits, appeals, and additional documentation requestsWhat we're looking for:Minimum of 3 years of Medicare Part A billing experience, preferably in a Skilled Nursing Facility.Strong knowledge of Medicare regulations, UB-04 billing, and reimbursement processes.Understanding of PDPM and MDS-related reimbursement requirements.Experience with PointClickCare, MatrixCare, AHT, or other long-term care software is a plus.Strong attention to detail and problem-solving skills.Excellent communication and organizational abilities.Proficiency in Microsoft Office, especially Excel.Key competencies:Knowledge of Medicare Part A billing regulationsClaims processing and accounts receivable managementDenial resolution and appeals managementCompliance and audit readinessData analysis and reconciliationTime management and organizationCustomer service and communicationProblem-solving and critical thinkingEqual Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.