Billing Specialist

Tutera Senior Living and Health Care

Medicare Billing Specialist responsible for submitting Medicare claims for skilled nursing residents. Ensuring compliance with CMS regulations and collaborating with staff for accurate billing.

Posted 5/21/2026full-timeRemote • Kansas, Montana • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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.

Benefits

Comp & perks

Advanced Pay
Financial Literacy Classes
Employee Assistance Program offering Mental Health Resources, Legal Guidance, Financial Information, and more!
Child Care Discount
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
401(k) for Eligible Locations
Tuition Reimbursement
Paid Time Off
Holiday Pay
Exclusive Tutera Perks
Tutera University
Advancement Opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medicare Part A claimsMedicare Part B claimsbilling proceduresinsurance eligibility verificationclaims reconciliationclaims trackingclaims appealbilling codesHIPAA compliancebilling in LTC/SNF setting

Soft Skills

teamworkcommunicationattention to detailflexibilityenergetic personalityprofessionalismproblem-solvingcollaborationpassion for working with seniorswritten communication