Mco Biller - Skokie, United States - Legacy Healthcare

Legacy Healthcare

Verified Company

Skokie, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Are you seeking a rewarding career in Healthcare? We are looking for an experienced
MCO Biller to join our dynamic team of professionals.

Responsibilities include but are not limited to:

Collect, enter and process primary and/or secondary claim information on departmental cycle for multiple SNF locations.
Monitor verifications and authorizations obtained and ensure complete service spans are covered.
Demonstrates knowledge of payer requirements, especially MMAI and ICP payers.
Attention to detail and follow through on denied claims and the ability to draft appeal letters.
Proficiency in electronic billing systems
Clear understanding of HIPAA regulations
Working knowledge of healthcare revenue cycle processes.
Timely submission of SNF claims to various insurance companies.
Prepare and generate clean claims for submission to all payor types, including third party payors, Medicare and Medicaid.
Outstanding communication skills and the ability to develop and maintain working relationships with internal/external providers to ensure billings and collections procedures are current.
Oversee authorization process to ensure accuracy
Follow up on all outstanding A/R

Qualifications:

High School Diploma/GED or equivalent required; Associates Degree or Medical Billing Certificate preferred.
Two (2) years of experience in Managed Care billing, denials review, and accounts receivable processes required.
A minimum of two (2) year years of Medicaid and Managed Care Billing in a Skilled Nursing Facility.

What we offer:
Our organization offers employees far more than just a place to work.

Rather, we are a company you can be proud of, where you'll feel good about devoting your time and your talents.

We also offer great benefits including:

Medical, Vision, & Dental
401K with Employer Match
Free Life Insurance
Voluntary Benefits
Sick and Vacation Time package
Holiday Pay
Tuition Reimbursement
Internal Growth Opportunities
Proactive Health Management Wellness Program (PHMP)
Employee Assistance Program
Emergency Assistance Grant Program.

Legacy Healthcare never requests or sends money, payment transfers, direct deposit, or Social Security Number (SSN) information as part of their recruitment process.

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