Tutera Senior Living and Health Care · 11 hours ago
HCBS Billing Specialist
United States
Full-time
Remote
Mid Level
3+ years expTutera Senior Living & Health Care is seeking a dedicated HCBS Billing Specialist to join their team. The role involves accurately billing and submitting claims for Home and Community-Based Services, ensuring compliance with Medicaid and Medicare requirements, and resolving billing issues with various stakeholders.
Elder CareHealth CareNursing and Residential Care
Responsibilities
Prepare and submit accurate billing claims for HCBS services to Medicaid, MCOs, and other payers
Verify client eligibility and authorizations prior to billing
Review service documentation for completeness and compliance before submitting claims
Track claim status and resolve denials, rejections, or payment discrepancies in a timely manner
Post payments and adjustments to client accounts in the billing system
Communicate with providers, case managers, and payers to resolve billing issues
Maintain accurate and organized billing records and documentation
Stay up-to-date with HCBS billing regulations, Medicaid rules, and payer-specific requirements
Generate and review reports to ensure timely claim submission and follow-up
Support audits and compliance reviews as needed
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 preferred
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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