Tutera Senior Living and Health Care · 14 hours ago
MCR Billing Specialist
Kansas City, MO
Full-time
Onsite
Mid Level
3+ years expTutera Senior Living and Health Care is seeking a Medicare Billing Specialist to join their team. The role involves the accurate and timely submission of Medicare claims, ensuring compliance with CMS regulations, and following up on payments and denials, which is critical for the financial health of the facility.
Elder CareHealth CareNursing and Residential Care
Responsibilities
Prepare, review, and submit Medicare Part A & B claims for skilled nursing residents
Ensure timely and accurate billing in accordance with CMS and SNF-specific guidelines
Verify resident insurance eligibility, including benefits and coverage under Medicare
Monitor and reconcile claims for proper payment, and identify/resolve any discrepancies
Track, appeal, and resolve denied or rejected claims efficiently
Collaborate with MDS coordinators to ensure billing aligns with clinical documentation under PDPM
Maintain current knowledge of Medicare regulations, SNF billing codes, and HIPAA compliance
Communicate with Medicare MACs, community staff, and insurance providers as needed
Generate aging reports and assist in collection efforts when required
Support audits and provide documentation for compliance reviews
Qualification
Required
A fire and passion for working with seniors
A flexible, fun, and energetic personality
Must possess detailed knowledge of Illinois Medicaid regulations
Must have prior experience with managing complex billing scenarios
High school diploma, or equivalent, required
Must have a minimum of 3-5 years of prior experience in billing in a LTC/SNF setting
Extensive knowledge of billing procedures for all payer types, including Medicare, Medicaid, private insurance, and others required
Proficiency with billing software and electronic medical record (EMR) systems required
Must be able to work well with others in a team environment
Proficiency in Microsoft Word, Excel, and Outlook required
Professional image in both appearance and behavior
Excellent written and oral communication skills
Preferred
Associate or bachelor's degree in a related field
Benefits
Financial Literacy Classes with Payactiv
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Accident Insurance
Critical Illness Insurance
Cancer Insurance
Short Term and Long Term Disability
401(k) with Matching Contributions
Tuition Reimbursement
Paid Time Off
Holiday Pay
Birthday Day Off
Exclusive Tutera Perks
Advancement Opportunities
& More!
Company
Tutera Senior Living and Health Care
Tutera Senior Living and Health Care is a health care company that offers rehabilitation and home health services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Anthony Burgess
Chief Medical Officer
Cara Maggard
Partner Relations Coordinator
Recent News
2025-04-22
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