Tutera Senior Living and Health Care
MCR Billing Specialist
Tutera Senior Living and Health Care, Kansas City, Missouri, United States, 64101
MCR Billing Specialist
Join
Tutera Senior Living and Health Care
to apply for the MCR Billing Specialist role.
About the Role We are seeking an experienced and detail-oriented
Medicare Billing Specialist
with expertise in Skilled Nursing Facility (SNF) billing. The ideal candidate will be responsible for accurate and timely submission of Medicare claims, ensuring compliance with CMS regulations, and following up on payments and denials. This role plays a critical part in the financial health of our facility and requires deep knowledge of Medicare Part A and B, PDPM, and MDS integration.
Key Responsibilities
Prepare, review, and submit Medicare Part A & B claims for skilled nursing residents.
Ensure timely and accurate billing in accordance with CMS and SNF-specific guidelines.
Verify resident insurance eligibility, including benefits and coverage under Medicare.
Monitor and reconcile claims for proper payment, and identify/resolve any discrepancies.
Track, appeal, and resolve denied or rejected claims efficiently.
Collaborate with MDS coordinators to ensure billing aligns with clinical documentation under PDPM.
Maintain current knowledge of Medicare regulations, SNF billing codes, and HIPAA compliance.
Communicate with Medicare MACs, community staff, and insurance providers as needed.
Generate aging reports and assist in collection efforts when required.
Support audits and provide documentation for compliance reviews.
Qualifications
A passion for working with seniors.
A flexible, fun, and energetic personality.
Must possess detailed knowledge of Illinois Medicaid regulations.
Must have prior experience managing complex billing scenarios.
High school diploma or equivalent required.
Associate or bachelor’s degree in a related field preferred.
Minimum 3-5 years of billing experience in a LTC/SNF setting.
Extensive knowledge of billing procedures for Medicare, Medicaid, private insurance, and others.
Proficiency with billing software and EMR systems.
Ability to work well in a team environment.
Proficiency in Microsoft Word, Excel, and Outlook.
Professional image in both appearance and behavior.
Excellent written and oral communication skills.
Why Tutera?
Dedicated to the YOUNITE philosophy, providing respectful and personalized care.
Stability: family-owned company founded in 1985.
Competitive starting wage and comprehensive benefits.
Opportunities for growth through Tutera University.
Benefits
Financial Literacy Classes with Payactiv
Health, Dental, Vision, Life Insurance
Accident and Critical Illness Insurance
Cancer Insurance
Short 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!
Apply today and let us show you how we are inspired by you.
Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits.
#J-18808-Ljbffr
Join
Tutera Senior Living and Health Care
to apply for the MCR Billing Specialist role.
About the Role We are seeking an experienced and detail-oriented
Medicare Billing Specialist
with expertise in Skilled Nursing Facility (SNF) billing. The ideal candidate will be responsible for accurate and timely submission of Medicare claims, ensuring compliance with CMS regulations, and following up on payments and denials. This role plays a critical part in the financial health of our facility and requires deep knowledge of Medicare Part A and B, PDPM, and MDS integration.
Key Responsibilities
Prepare, review, and submit Medicare Part A & B claims for skilled nursing residents.
Ensure timely and accurate billing in accordance with CMS and SNF-specific guidelines.
Verify resident insurance eligibility, including benefits and coverage under Medicare.
Monitor and reconcile claims for proper payment, and identify/resolve any discrepancies.
Track, appeal, and resolve denied or rejected claims efficiently.
Collaborate with MDS coordinators to ensure billing aligns with clinical documentation under PDPM.
Maintain current knowledge of Medicare regulations, SNF billing codes, and HIPAA compliance.
Communicate with Medicare MACs, community staff, and insurance providers as needed.
Generate aging reports and assist in collection efforts when required.
Support audits and provide documentation for compliance reviews.
Qualifications
A passion for working with seniors.
A flexible, fun, and energetic personality.
Must possess detailed knowledge of Illinois Medicaid regulations.
Must have prior experience managing complex billing scenarios.
High school diploma or equivalent required.
Associate or bachelor’s degree in a related field preferred.
Minimum 3-5 years of billing experience in a LTC/SNF setting.
Extensive knowledge of billing procedures for Medicare, Medicaid, private insurance, and others.
Proficiency with billing software and EMR systems.
Ability to work well in a team environment.
Proficiency in Microsoft Word, Excel, and Outlook.
Professional image in both appearance and behavior.
Excellent written and oral communication skills.
Why Tutera?
Dedicated to the YOUNITE philosophy, providing respectful and personalized care.
Stability: family-owned company founded in 1985.
Competitive starting wage and comprehensive benefits.
Opportunities for growth through Tutera University.
Benefits
Financial Literacy Classes with Payactiv
Health, Dental, Vision, Life Insurance
Accident and Critical Illness Insurance
Cancer Insurance
Short 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!
Apply today and let us show you how we are inspired by you.
Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits.
#J-18808-Ljbffr