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Billing Specialist - Medicare Data Entry

Remote, USA Full-time Posted 2025-04-26
    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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