We are a dedicated long-term care provider committed to delivering exceptional support and compassionate service to our residents. Our team works collaboratively to ensure accurate, timely, and compliant billing practices that support the financial health of our organization. We are seeking a detail-oriented Medicaid & Medicare Billing Clerk to join our business office team.
The Medicaid & Medicare Billing Clerk is responsible for managing all aspects of Medicare and Medicaid billing for our long-term care facility. This role ensures claims are submitted accurately and timely, payments are posted correctly, and denials are resolved efficiently. The ideal candidate is organized, proactive, and experienced in long-term care reimbursement.
Prepare, review, and submit Medicare Part A, Part B, and Medicaid claims for long-term care residents
Verify eligibility and coverage for Medicare, Medicaid, and secondary insurance payers
Monitor claims through the entire billing cycle, ensuring timely follow-up and resolution
Research and correct claim errors, rejections, and denials
Post payments, adjustments, and reconcile accounts
Maintain accurate resident billing files and documentation
Collaborate with clinical and admissions teams to ensure accurate MDS and RUG/PDPM-related billing
Communicate with insurance providers, state agencies, and internal departments
Assist with month-end closing processes and reporting
Ensure compliance with federal, state, and payer-specific regulations
Billing for ancillary services such as labs, xrays, wounds etc.
Previous experience in Medicaid and Medicare billing, preferably in a long-term care or SNF setting
Strong understanding of Medicare Part A/Part B, Medicaid, PDPM, and payer guidelines
Proficiency with billing software PointClickCare
Excellent attention to detail and organizational skills
Ability to manage multiple priorities and meet deadlines
Strong communication and problem-solving abilities
High school diploma required; additional billing or healthcare administration training preferred
Competitive compensation
Health, dental, and vision insurance
Paid time off and holidays
Opportunities for professional development
Supportive and collaborative work environment
