Location: Charleston, Illinois (on-site)
Reports To: Billing Director
The Medicare Billing Specialist is responsible for ensuring accurate and timely billing of all Medicare claims within a skilled nursing environment. This role requires deep knowledge of Medicare regulations and a high level of precision.
Medicare Billing
Prepare and submit Medicare Part A and Part B claims accurately and on time
Ensure compliance with PDPM and all Medicare billing guidelines
Verify documentation supports billing prior to submission
Accuracy & Compliance
Review claims for completeness and accuracy
Identify and resolve billing discrepancies or missing information
Stay up to date on Medicare regulations and changes
Denials & Follow-Up
Manage Medicare claim rejections and denials
Correct and resubmit claims promptly
Work closely with AR team to ensure payment is received
Systems
MUST have SNF Medicare billing experience
3+ years of Medicare billing experience in long-term care
Strong understanding of PDPM and Medicare regulations
Experience with PointClickCare (PCC) required
Detail-oriented with strong accuracy and compliance focus
