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Healthcare Medicare Billing Specialist (Remote)
SimiTree Talent Solutions
- Location not stated
- Remote
- Manager or above
- 23 hours ago
- Regulatory Compliance
- EMR
- Epic
- Pension
23 hours ago
The Medicare Specialist is responsible for managing the collection of outstanding accounts receivable from Medicare Part A and Part B for all Post-Acute service lines including Home Health, Hospice, Outpatient Therapy and Palliative. This role involves ensuring timely and accurate payment of claims, resolving billing issues, and maintaining positive relationships with payers and clients.
About SimiTree
SimiTree provides client-centric services to home health, hospice, private duty, pediatrics, applied behavioral analysis, palliative care, and other post-acute organizations. Our organization is made up of clinical, operational, and revenue cycle experts who support our clients. SimiTree has developed a full suite of custom-designed services focusing on areas critical to quality improvement, operational efficiency, accurate reimbursement, and regulatory compliance.
To provide our clients with an opportunity to focus on core operations, SimiTree provides outsourcing services for Coding and OASIS reviews, Billing and Collections, and full Revenue Cycle services. SimiTree's client base ranges from small, community-based agencies to publicly traded national chains. We have both the technical expertise and the real-world experience to implement seamless solutions that assist agencies in a rapidly changing operational and regulatory environment.
Key Responsibilities:
- Notice of Admission (NOA)/Notice of Election (NOE) billing and tracking
- Resolve denied or rejected Medicare claims
- Perform claims resolution in various clearinghouses and Medicare's DDE system
- Achieve pre-established goals related to workflow, work quality, work quantity, transactions, processes and compliance requirements
- Identify and escalate high-level issues to the Team Lead/Director for a quick resolution
- Submit updates of findings to Leadership and participate in internal huddles
- Development and maintenance of internal spreadsheets and databases, as necessary
- Knowledge of and communication regarding issues related to billing
- Other duties as assigned
Required Qualifications:
- Demonstrated ability to manage multiple priorities and workstreams
- Strong written and verbal communication skills
- Experience building professional relationships with stakeholders
- Ability to work in a fast-paced environment
- Interested candidates should have outstanding intellectual capability, maturity, and judgement
- High school diploma or equivalent
- 2+ years of healthcare revenue cycle experience, specifically in billing and collections
- Experience with Home Health/Hospice/Private Duty EMR systems, Epic is required
- Experience with Medicare claim collections is a plus
- Excellent interpersonal skills, and an aggressive approach to excellence
- Provide excellent customer service to peers, management, and clients at all times
- Strong quantitative and analytic skills, initiative to problem solve
- Proficiency with Microsoft Office
- Ability to adapt to a rapidly changing working environment
- Activities requiring a significant amount of sitting at office and work desks in front of a computer monitor.
- Regularly required to verbally communicate, listen, and give presentations as needed.
Salary range/ Benefits:
$22.00- $28.00 per hour
The compensation scale listed is a general salary range and is not intended to represent the actual annual or hourly compensation rate for this role. An offer will be made to the selected candidate at the conclusion of the interview process based on their relevant experience and the responsibilities of the position. SimiTree offers a competitive compensation package including health, vision, and dental insurance, PTO, retirement plans (401K), holiday paid time off, life insurance, sick time, and opportunities for professional development.
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Healthcare Medicare Billing Specialist (Remote) · SimiTree Talent Solutions