Seeking a full-time onsite Medicare Billing Specialist to support our 33 Bed Skilled Nursing Unit within Oro Valley Hospital, located on 1551 E Tangerine Rd, Oro Valley AZ.

Days Shift: Monday - Friday, business hours

We know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

Benefits

As a core employee with Northwest Healthcare, you will be eligible for competitive base pay, and a robust total rewards compensation package. Included in our benefits package includes some of the following: health insurance, dental, vision, 401K, PTO and more!

This Medicare Billing Specialist is responsible for ensuring that all financial information is entered and maintained accurately in Point Click Care. This role will work with Shared Billing Services to provide billing information needed by Shared Services to bill claims timely and accurately. This role works closely with the admissions liaisons and the unit administrator.

Job Summary

The Medicare Billing Specialist is responsible for ensuring that all financial information is entered and maintained accurately in Point Click Care. This role will work with Shared Billing Services to provide billing information needed by Shared Services to bill claims timely and accurately. This role works closely with the admissions liaisons and the unit administrator.

Essential Functions

• Perform insurance Eligibility Verifications by utilizing Common Working File, insurance portals, etc.
• Authorizations: Manage the authorization process from initial authorization to continued authorizations throughout the patient stay, enter in Point Click Care for billing
• Gather, scan and upload admission documents into Point Click Care
• Complete admission agreement packet with patient, collect insurance cards, upload in PCC
• Track copays, inform patient/representative, coordinate financial counselor to collect
• Validate census daily in Point Click Care. Identify discrepancies and ensure all data matches common working file and is correct for billing purposes.
• Complete billing month and checks, generate and clear errors in UB Trials, complete Triple Check
• Other duties as assigned, reports to Skilled Unit Administrator
• Ensures proper documentation is maintained for audits, appeals, and compliance reporting.
• Performs other duties as assigned.
• Complies with all policies and standards.

• Associate Degree in Accounting, Health Information Management, or related field preferred
• 1-2 years of experience in Medicare A and Managed Medicare billing in a skilled nursing setting preferred

• Proficient in using electronic health record (EHR) systems.
• Detail-oriented with strong organizational and analytical skills.
• Effective communication skills for supporting departments and interacting with third-party payers.