Benchmark Senior Living · 2 months ago
Medicare Biller
Stamford, CT
Full-time
Onsite
Entry, Mid Level
2+ years expBenchmark Senior Living is a premier CCRC located in Stamford, CT, seeking a full-time Medicare Biller to join their team. The Medicare Biller is responsible for the capture, billing, adjustment, and collection of all charges generated by the Edgehill Skilled Nursing Facility and outpatient medical charges.
Health CareHospitality
Responsibilities
Proficiency with Microsoft Windows software, including Excel, Word, and Outlook
Proficiency with claims management software systems
Distribution of Self-Pay invoices to residents to insure timely collections
2 Years of current Medicare, Managed Care and Long-Term Care (LTC) experience required
Experience with Medicare, and Medicare & Commercial HMO/PPO billing guidelines and rules, insurance reimbursement methods, and the claims appeal process
Knowledge of and ability to follow insurance carrier guidelines in order to ensure that Electronic Data Interface and paper claims are submitted with proper documentation, consent form, referral and/or authorization as needed
Ability to review & interpret insurance Explanation of Benefits & Electronic Remittance Advices to determine & identify reasons for claim denial, and when appropriate, appeal course of action for resolution
Able to identify potential problem trends such as incorrect coding or down coding, and carrier non-payment trends
Ability to communicate effectively both written and verbal
Qualification
Required
Proficiency with Microsoft Windows software, including Excel, Word, and Outlook
Proficiency with claims management software systems
Distribution of Self-Pay invoices to residents to insure timely collections
2 Years of current Medicare, Managed Care and Long-Term Care (LTC) experience required
Experience with Medicare, and Medicare & Commercial HMO/PPO billing guidelines and rules, insurance reimbursement methods, and the claims appeal process
Knowledge of and ability to follow insurance carrier guidelines in order to ensure that Electronic Data Interface and paper claims are submitted with proper documentation, consent form, referral and/or authorization as needed
Ability to review & interpret insurance Explanation of Benefits & Electronic Remittance Advices to determine & identify reasons for claim denial, and when appropriate, appeal course of action for resolution
Able to identify potential problem trends such as incorrect coding or down coding, and carrier non-payment trends
Ability to communicate effectively both written and verbal
Preferred
Medicare Part A & B billing experience in a skilled nursing facility is preferred
College Degree in a relevant course preferred
At least 2 years of business office/financial experience
Company
Benchmark Senior Living
Benchmark Senior Living is a company providing world class senior living experiences.
Founded in 1997Waltham, Massachusetts, USA
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
$0MKey Investors
American Parkinson Disease Association
2023-08-07Grant· $0M
Leadership Team
Thomas Grape
Founder, Chairman and CEO
Recent News
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