Managed Care Biller

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