Medicare Biller

Job not on LinkedIn

🕒 July 20

🇺🇸 United States – Remote

💵 $30 - $35 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 27%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Assembly Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Assembly Health is dedicated to elevating financial performance for healthcare providers through innovative revenue cycle management and back-office solutions. Their expert team and technology optimize processes, allowing healthcare organizations to focus on delivering quality patient care. With a comprehensive approach that includes analytics, compliance consulting, and staffing services, Assembly Health serves a wide array of physician specialties and long-term care communities across the United States.

📋 Description

• Bill Medicare for multiple skilled nursing facilities • Follow up on all claims until payment is received • Handle Medicare remittances, disputes, and appeals with Medicare Administrative Contractors • Manage MCR coding, UB billing, Medicare Secondary Payer claims, and skilled/non-skilled no-pay scenarios • Manage Common Working Files, credit balance reports, prepayment ADRs, RAC audits, and denials • Perform claim entry, corrections, cancellations, status management, denial management, and audit tracking in DDE • Submit and work claims, interpret 999/277 reports, and pull remittances using PCPrint in Inovalon • Navigate billing reports, submit claims and adjustments, and manage MSP claims using NCS and PCC • Perform other duties as assigned • Report to the Billing Manager

🎯 Requirements

• Proven experience in SNF Medicare billing processes • Strong communication and organizational skills • Ability to write professional emails and communicate clearly with internal and external stakeholders • Problem-solving and time management skills • Ability to work independently and collaboratively within a team • Thorough understanding of Medicare guidelines, including eligibility criteria • Experience interacting with Medicare Administrative Contractors (MACs) regarding remittances, disputes, and appeals • Comprehensive knowledge of MCR coding and UB billing • Familiarity with Medicare Secondary Payer (MSP) rules and skilled/non-skilled no-pay scenarios • Knowledge of Common Working Files (CWF), credit balance reports, and appeals processes for prepayment ADRs, RAC audits, and denials • DDE proficiency, including entering, correcting, and canceling claims, managing claim status and denials, and audit tracking • Inovalon proficiency, including submitting and working claims, interpreting 999/277 error and status reports, and pulling remittances using PCPrint • Billing Software NCS and PCC proficiency, including navigating reports and billing details, submitting claims and adjustments, and managing MSP claims

🏖️ Benefits

• Career growth opportunities • Transparent work environment • Virtual and in-person events • Medical insurance • Dental insurance • Vision insurance • 401(k) • Paid time off • Potential participation in company bonus programs