Medicare​/HMO Biller

A growing healthcare organization is seeking an experienced Medicare HMO Biller to join its corporate billing team. This role is responsible for managing Medicare Advantage (HMO) claims and ensuring timely, accurate reimbursement for skilled nursing facility services.

Responsibilities:
Process and submit Medicare HMO claims accurately and timely
Work with multiple Medicare Advantage plans and understand plan-specific requirements
Follow up on unpaid, underpaid, or denied claims and resolve discrepancies
Review EOBs and remittance advice to ensure correct reimbursement
Coordinate with facilities, case management, and admissions teams as needed
Maintain accurate billing records and aging reports
Ensure compliance with Medicare and payer regulations

Qualifications:
Previous experience billing Medicare HMO/Medicare Advantage claims required
Skilled Nursing Facility billing experience strongly preferred
Strong understanding of authorization requirements and payer rules
Ability to analyze denials and appeal when appropriate
Proficiency with billing systems and Microsoft Excel
Strong attention to detail and ability to manage multiple accounts

What We Offer:
Competitive compensation based on experience
Full-time, stable position in a corporate setting
Supportive billing leadership and collaborative team environment
Opportunity to grow within a healthcare organization

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