MCO Biller jobs in United States
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ALIYA Healthcare Consulting ยท 2 hours ago

MCO Biller

ALIYA Healthcare Consulting is dedicated to providing a supportive work environment. They are seeking an MCO Biller responsible for managing all Managed Medicare, Commercial, and Managed Medicaid billing functions, ensuring accurate claims submission and collaboration with clinical and administrative staff.

Health CareNursing and Residential CareRehabilitation

Responsibilities

Prepare, review, and submit claims accurately and on time
Verify resident insurance coverage, benefits, and authorizations
Monitor and work rejected and denied claims, following up promptly to secure payment
Collaborate with Nursing, MDS, and Admissions to ensure accuracy of billing-related documentation
Track and manage coverage periods, authorizations, and eligibility updates
Maintain organized billing records and protect resident confidentiality
Communicate with payers, families, and internal departments regarding billing questions

Qualification

SNF billingAttention to detailCommunication skillsProblem-solving skillsTime management

Required

High school diploma or equivalent required
Excellent attention to detail, accuracy, and follow-through
Strong communication and problem-solving skills
Ability to work independently and manage deadlines

Preferred

Experience in SNF billing is preferred

Benefits

Medical, Dental, Vision Insurance
Flexible Spending Account (FSA)
Life and Critical Illness Insurance
Short-Term Disability
Accident and Hospital Indemnity Insurance
401(k) Retirement Plan
On-Demand Pay
Paid Time Off (PTO)

Company

ALIYA Healthcare Consulting

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Raising the bar on quality care. Provide care and prove quality to enhance and rehabilitate our residents.

Funding

Current Stage
Growth Stage

Leadership Team

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Flora Reznik
CFO
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Brandy Gregory, BSN, RN
Chief Nursing Officer
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Company data provided by crunchbase