Managed Care Biller

Cassena Care Woodbury, NY
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Cassena Care  is seeking a Managed Care Medical Biller to join our dynamic team of professionals.


Primary job responsibilities of a Manged Care Biller include but are not limited to: Collect, enter and process primary and/or secondary claim information on departmental cycle for multiple SNF locations. Submit claims and manage follow up with a diverse group of insurance carriers on unpaid or rejected claims. 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.

·         Develops and maintains 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 of a Managed Care Biller:

·         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

·         Facility picnics

·         Ice cream truck day


 

We are an EOE

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