This remote, U.S.-based position focuses on resolving complex unpaid and denied long-term care claims for skilled nursing facility and intermediate care facility accounts. The role involves preparing and submitting claims to Medicare, Medicaid, and private insurers, ensuring billing compliance, coordinating with internal teams, and optimizing reimbursement through accurate coding and timely claim submission.
The schedule is Monday through Friday, 7:30 AM to 4:00 PM Hawaii Time.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent
- 5+ years of relevant industry experience in registration, billing, or collections
- 3+ years of experience with LTC and/or SNF claims resolution
- Knowledge of UB-04 claim forms, EOBs, and medical records
- ICD-9, ICD-10, CPT, and HCPCS coding knowledge
- Ability to conduct detailed research to resolve complex claims
- Intermediate math skills and ability to identify trends
- Ability to compile and summarize data
- Strong verbal and written communication skills
- Ability to analyze and interpret complex documents, contracts, notes, and correspondence
- Ability to prioritize and multitask in a fast-paced environment
- Ability to work effectively in a remote environment
- Investigative mindset to identify issues and implement solutions
Benefits & Perks
Benefits
- Competitive hourly salary
- Medical, dental, and vision insurance
- Equipment provided
- 401(k) program
- Accrued PTO: 80 hours annually
- Paid paternity and maternity leave programs
- 9 paid annual holidays
- Tuition reimbursement
- Professional growth opportunities
Location
Hawaii, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago