Billing Specialist - Medicare Data Entry
Posted 2025-05-15
Remote, USA
Full-time
Immediate Start
- Description:
- This is a remote position.
- We are seeking a detail-oriented UB-04 Billing Specialist to join our team and support the accurate and timely submission of Medicare claims for nursing home residents.
- This position plays a critical role in ensuring proper reimbursement through meticulous data entry and billing processes.
- Responsibilities: Complete and submit UB-04 claim forms accurately and in compliance with Medicare guidelines.
- Utilize DDE systems to enter and manage claims directly with Medicare.
- Use Inovalon software for claims tracking, data verification, and performance optimization.
- Review resident data and supporting documentation to ensure completeness and billing accuracy.
- Follow up on claim rejections, denials, and adjustments; correct and resubmit as necessary.
- Coordinate with nursing home staff and billing departments to resolve discrepancies.
- Maintain organized records of all billing activities and documentation.
- Stay up-to-date with Medicare regulations and billing changes relevant to skilled nursing facilities.
- Requirements:
- Proven experience in data entry or billing within a healthcare setting, preferably long-term care or nursing homes.
- Familiarity with Medicare billing, especially using UB-04 forms.
- Experience with DDE systems and Inovalon software is required.
- Strong attention to detail and accuracy.
- Excellent organizational and time management skills.
- Ability to handle confidential patient information with discretion.
- High school diploma or equivalent required; additional certification in medical billing is a plus.
Benefits:
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