[Hiring] Medicare Biller @Assembly Health

Role Description

Become an Assembler! We are seeking a candidate with proven experience in SNF Medicare billing processes and strong communication and organizational skills. The primary responsibility of this role is to bill Medicare for multiple facilities and follow up on all claims until they are fully paid. The ideal candidate will be a team player, a quick learner, and proficient in writing professional emails. Strong time management and problem-solving abilities are essential, including knowing when and how to escalate issues.

This is a full-time, exempt position reporting to our Billing Manager.

What we need you to do

• Bill Medicare for multiple skilled nursing facilities and ensure timely follow-up on all claims until payment is received.
• 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 the appeals process for prepayment ADRs, RAC audits, and denials.
• Other duties as assigned or required by the business.

What it takes to join the team

• Strong communication and organizational skills.
• Ability to write professional emails and communicate clearly with internal and external stakeholders.
• Problem-solving and time management skills to handle unexpected situations.
• Ability to work independently and collaboratively within a team.

DDE

• Entering, correcting, and canceling regular claims, no pays, and MSPs; managing claims status and denials; audit tracking.

Inovalon

• Submitting and working claims, interpreting 999/277 error and status reports, and pulling remittances using PCPrint.

Billing Software NCS and PCC

• Navigating reports and billing details, submitting claims and adjustments, and managing MSP claims.

Why Assembly?

• Be part of something special! We are growing!
• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
• An environment that values transparency.
• Virtual and in-person events to connect with your team.

Salary Range

$30 — $35 USD

Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.

All official recruitment communications from Assembly Health will originate from an @assembly.health email address. Candidates are encouraged to carefully verify sender domains and remain vigilant against potential impersonation attempts. Communications from any other domain should be considered unauthorized.