Managed Care Biller

Cassena Care Woodbury, NY $50000.00 to $75000.00 per year
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Cassena Care  is seeking a Managed Care Medical Biller to join our dynamic team of professionals.

responsibilities include but are not limited to: 

  • Collect, enter and process primary and/or secondary claim information on departmental cycle for multiple SNF locations.

  • Monitor verifications and authorizations obtained and ensure complete service spans are covered. 

  • Answer business office manager and/or responsible party inquiries on account status and charges.

  • Researches and resolves all zero payment explanations or benefits and exercises all options to obtain claims payments; initiates adjustments as necessary.

  • Timely submission of SNF claims to various insurance companies

  • Prepares and generates clean claims for submission to all payor types, including third party payors, Medicare and Medicaid.

  •  Develop and maintain working relationships with internal/external providers to ensure billings and collections procedures are current.

  • Monthly billing for all Commercial and Managed Care plans

  • Oversee authorization process to ensure accuracy

  • Create deposits weekly

  • Post cash to resident ledgers weekly

  • Follow up on all outstanding A/R

Qualifications:

  • High School Diploma/GED or equivalent required; Associates Degree or Medical Billing Certificate preferred.

  •  Experience in area of billing, denials review, and accounts receivable processes required.

  • Medicaid and Managed Care Billing Experience

 

What we offer: Our organization offers employees far more than just a place to work. Rather, we are a company you can be proud of, where you’ll feel good about devoting your time and your talents.

  • Salary commensurate with experience

  • Generous PTO package

  • Health/Dental Benefits

  • 401k plan

 

 

We are an EOE


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