ALIYA Healthcare Consulting ยท 3 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
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)