Medicare/Insurance Coordinator - Commercial

Medicare/Insurance Coordinator - Commercial

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 - Commercial.

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 - Commercial, 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 - Commercial is responsible for the following:

• Responsible for accurate and timely billing, cash application and A/R follow up for Part B claims managed care claims, coinsurance and commercial claims, including investigation and resolution of claims as necessary
• Responsible to validate available insurance benefits and clearly communicate regarding coverage and benefits
• 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.
• Track and process resident insurance premium payments, maintain changes in billing system to ensure charges are billed to proper payer and communicate changes for accurate Medicaid billing
• Review and process outside medical invoices to be paid for residents on benevolent care, including pursuing outside charity programs
• Ability to work independently and problem-solve

What You Have:

• Strong understanding of Medicare/Medicaid regulations for skilled nursing facility & consolidated billing, including physician billing
• Strong understanding of Medicare and Managed Care enrollment guidelines
• Accounting degree preferred; five years of skilled nursing and/or physician billing experience required.
• Technical proficiency with billing software and Microsoft office; experience with Point Click Care preferred. Working knowledge of UB04 and 1500 claim forms.
• Experience with Waystar, Ability, Navinet, and related websites required

We are proud to be an equal opportunity employer.