Medicare/Insurance Coordinator - Part A

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.