Medical Billing Specialist

• Process and submit medical claims using UB04 forms while ensuring compliance with healthcare regulations and payer requirements
• Perform detailed medical coding using current standards to accurately reflect resident care and services
• Manage accounts receivable for Medicaid and Medicare billing, resolving discrepancies and handling claim denials effectively
• Update and reconcile resident census data to ensure accurate billing for insurance providers
• Coordinate billing for resident accounts, verify insurance eligibility, and maintain precise records of claim statuses
• Utilize PointClickCare and other healthcare software to manage billing and documentation processes
• Monitor claim statuses, investigate rejections or denials, and prepare corrected claims when necessary
• Collaborate with clinical and administrative teams to ensure accurate census reporting and smooth billing operations
• Uphold compliance with healthcare policies and regulations, safeguarding patient information and confidentiality

• High school diploma or equivalent
• certification in medical billing or coding is preferred
• At least 2 years of experience in medical billing and coding, particularly with UB04 forms and insurance claims
• Proficiency in Medicaid and Medicare accounts receivable billing processes
• Familiarity with PointClickCare and other healthcare billing software
• Strong knowledge of census management and reconciliation methods
• Excellent analytical and organizational skills with the ability to resolve billing issues efficiently
• Effective communication skills to coordinate with internal teams and external stakeholders

Certification in medical billing and coding (such as CPC or CCS) is a plus

• medical, vision, dental, and life and disability insurance
• eligible to enroll in our company 401(k) plan