Medicaid Billing Specialist - ClearView Healthcare Management

ClearView Healthcare Management LLC is currently hiring a Skilled Nursing Home Billing Specialist who has experience billing claims to TN Medicaid and TN Medicaid Managed Care payors!

Work Hours & Benefits: 

• Full-time position
• Work on-site with the possibility of a hybrid schedule in the future
• Comprehensive benefits
• 401K
• Skills training
• Paid time off

Medicaid 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 TN Medicaid and Managed Medicaid primary and secondary payors (MCOs: BCBS, Humana, UHC)
• Monitor claim status, research all rejections and denials
• Follow-up with insurance companies regarding unpaid and disputed claims
• Check each claim payment to ensure paid accurately according to the claims contract
• Answer/respond to insurance provider claim inquiries
• Complete aging reports by documenting patient account status for the payor
• Participate in the month-end close process
• Identify trends and carrier issues relating to billing
• Participate in professional educational opportunities to keep current on Medicaid billing and reimbursement procedures.
• Other duties as assigned

Medicaid Billing Specialist Qualifications/Skills:

• Integrity, discretion, and respect for confidentiality and privacy
• Excellent oral communication skills and the ability to resolve misunderstandings and errors in a diplomatic manner
• Typing, computing, and data entry proficiency
• Good communication, interpersonal, and customer service skills
• Analytical skills
• Ability to prioritize and work under pressure
• Time management
• Organizational skills
• Attention to detail
• Strong spelling, math, and financial skills
• Documentation skills

Education, Experience, & Licensing Requirements:

• High school graduate
• Experience working in an office setting
• Previous SNF billing experience a must, 1-3 years preferred
• Experience working with MatrixCare practice management system

 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.