MCR Billing Specialist

MCR Billing Specialist

Tutera Senior Living & Health Care

Are you a Medicare Billing Professional seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU!

What Will You Do in This Role?

We are seeking an experienced and detail-oriented Medicare Billing Specialist with expertise in Skilled Nursing Facility (SNF) billing. The ideal candidate will be responsible for the accurate and timely submission of Medicare claims, ensuring compliance with all CMS regulations, and following up on payments and denials. This role plays a critical part in the financial health of our facility and requires deep knowledge of Medicare Part A and B, PDPM, and MDS integration.

Key Responsibilities:
• Prepare, review, and submit Medicare Part A & B claims for skilled nursing residents.
• Ensure timely and accurate billing in accordance with CMS and SNF-specific guidelines.
• Verify resident insurance eligibility, including benefits and coverage under Medicare.
• Monitor and reconcile claims for proper payment, and identify/resolve any discrepancies.
• Track, appeal, and resolve denied or rejected claims efficiently.
• Collaborate with MDS coordinators to ensure billing aligns with clinical documentation under PDPM.
• Maintain current knowledge of Medicare regulations, SNF billing codes, and HIPAA compliance.
• Communicate with Medicare MACs, community staff, and insurance providers as needed.
• Generate aging reports and assist in collection efforts when required.
• Support audits and provide documentation for compliance reviews.

Do You Have What It Takes?

• A fire and passion for working with seniors
• A flexible, fun, and energetic personality
• Must possess detailed knowledge of Illinois Medicaid regulations
• Must have prior experience with managing complex billing scenarios
• High school diploma, or equivalent, required
• Associate or bachelor’s degree in a related field preferred
• Must have a minimum of 3-5 years of prior experience in billing in a LTC/SNF setting
• Extensive knowledge of billing procedures for all payer types, including Medicare, Medicaid, private insurance, and others required
• Proficiency with billing software and electronic medical record (EMR) systems required
• Must be able to work well with others in a team environment
• Proficiency in Microsoft Word, Excel, and Outlook required
• Professional image in both appearance and behavior
• Excellent written and oral communication skills

Why is Tutera THE Employer of Choice?

• Tutera Senior Living & Health Care is guided by one single purpose: To live the YOUNITE philosophy in every decision, every day. Based on genuine respect, YOUNITE is how we get to know residents and team members on a personal level. By asking about our employees’ and residents’ unique needs and preferences, we actively listen and then deliver. Do you want to work for a company where you are the driving force behind every decision made?
• Tutera offers stability; our family-owned company was founded in 1985!
• Tutera offers a competitive starting wage and amazing benefits! We take care of you so you can be a rockstar at work and at home!
• Tutera Senior Living & Health Care is dedicated to growing and developing our Tutera rockstars. Through Tutera University, every employee has the opportunity to learn new skills and become the best they can be!
  
  

Apply today and let us show you how we are inspired by you.

Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits.

How Can You Benefit?

• Financial Literacy Classes with Payactiv
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Cancer Insurance
• Short Term and Long Term Disability
• 401(k) with Matching Contributions
• Tuition Reimbursement
• Paid Time Off
• Holiday Pay
• Birthday Day Off
• Exclusive Tutera Perks
• Advancement Opportunities
• & More!