Guardian Elder Care
  • Other
  • Brockway, PA, USA
  • Full Time

Guardian Elder Care is growing and looking for a Medicare Billing Specialist to join our team in Brockway, PA at the Home Office! We are looking for a career oriented individual, who can work independently & with a team. Medical billing experience is not required, we will train you! You will process monthly billing and engage in revenue collection for our facilities.


Position Summary: The primary function of the Medicare Billing Specialist is to process monthly billing and pursue payments from Medicare and coinsurance companies to achieve 100% or more of revenue is collected each month for your assigned facilities.

Educational and Experience Requirements:

  • High School Diploma or equivalent
  • Working knowledge of Microsoft Office
  • Ability to read, write and speak English
  • Ability to follow oral and written direction

Duties and Responsibilities: Medicare Billing Specialist

  • Process monthly billing as needed in order to maintain timely guidelines
  • Collect 100% or more of revenue each month to increase cash flow and reduce DSO's (must collect more than 100% to be incentivized)
  • Post all cash remittance advices on a daily basis when needed
  • Process coins billing to the proper insurance company after Medicare pays the claim
  • Conduct monthly reviews of all accounts receivable in order to identify claims that need reprocessed to secure payment.
  • Accurate and up to date notes of collection efforts are to be recorded in the billing software as collections calls are made.
  • Read and decipher information as it is received from the facilities, insurance companies and or other sources to have the proper information entered in PCC.
  • Communicate with facilities to ensure proper billing is completed accurately
  • Month end Charge Entry of Lab, Xray and Pharmacy
  • Download of therapy charges received from the therapy department
  • Extensive telephone communication with insurance companies, facilities and coworkers to obtain and relay any information needed for claim payments.
  • Maintain Good rapport with home office staff and facility staff
  • Keep apprised of new Medicare regulations by attending training and seminars as requested by the Billing Supervisor, updates on Medicare website, and any other sources of information that may become available.
  • Maintains a professional, customer-oriented demeanor at all times
  • Cooperate with all co-workers and peers
  • Maintain confidentially of information and adhere to HIPAA guidelines
  • Represents the corporate office in a positive manner at all times
  • All other duties as assigned.




Guardian Elder Care
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