Medicare/Insurance Coordinator (Part A)

Full Time | Days

$25.72 - $34.99/hr (Pay based on experience)

Masonic Villages of Pennsylvania - Elizabethtown Campus - is immediately hiring for a Medicare/Insurance Coordinator - Part A.

With over 145 years of providing award-winning care and services across the state of PA, Masonic Villages is driven by our Mission of Love to assist individuals in realizing their potential and enjoying the highest possible quality of life.

Why Choose Masonic Villages:

Each campus is supported by corporate leaders who are fully invested in our Mission of Love and hiring like-minded individuals who are committed to providing heartfelt customer service and contributing to our team environment. When you join our team you can expect:

Industry-leading benefits such as $0 cost medical coverage option ***
Vacation Time/Flex Time and Paid Holidays ***
Pay on-demand. Access to a portion of your earned wages in real-time.
Discounted Grocery gift cards
Tuition and Educational Reimbursement ***
Discounts for onsite Daycare
Free Gym and Pool Membership ***
Paid Lunch ***
Discounted tickets for movies, theme parks, hotels, and MORE!
Shoe discounts
Cell phone discounts
Weekend differentials and additional shift differentials!
Employer matched Retirement Savings with free financial planning ***
A commitment to growing our leaders with leadership & mentorship programs available
Key: *** = Full Time & Part Time Regular Staff Only

As a Medicare/Insurance Coordinator- Part A, you will carry out our Mission of Love by verifying insurance benefits, and billing and collections from Medicare and commercial insurers.

Our Medicare/Insurance Coordinator - Part A is responsible for the following:

Daily census processing, payer set up & tracking of Part A days
Responsible to validate available insurance benefits and clearly communicate regarding coverage and benefits
Working knowledge of NOMNCs, ABNs, MSP, Medicare demand bills and the appeal process
Responsible for triple check process for Part A claims and reporting to compliance committee; tracking of information for PS&R reconciliation
Responsible for accurate and timely billing, cash application and A/R follow up for Medicare and commercial claims, including investigation and resolution of claims as necessary
Responsible to clearly communicate with staff and residents at Masonic Village regarding when benefits are inadequate, or will end, as well as plan contracts and participation. Provide excellent customer service to residents and families during open enrollment.
Review and process medical invoices in accordance with consolidated billing regulations, and include charges on Part A bills as necessary
Ability to work independently and problem-solve
What You Have:

Strong understanding of Medicare/Medicaid regulations for skilled nursing facility & consolidated billing.
Strong understanding of Medicare and Managed Care enrollment guidelines
Accounting degree preferred; five years of Medicare billing experience required
Technical proficiency with billing software and Microsoft office; experience with Point Click Care preferred
Experience with Waystar, Ability, Navinet, and related websites required
We are proud to be an equal opportunity employer.What You Have:

Strong understanding of Medicare/Medicaid regulations for skilled nursing facility & consolidated billing.
Strong understanding of Medicare and Managed Care enrollment guidelines
Accounting degree preferred; five years of Medicare billing experience required
Technical proficiency with billing software and Microsoft office; experience with Point Click Care preferred
Experience with Waystar, Ability, Navinet, and related websites required

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