MCR Billing Specialist
Tutera Senior Living Communities
- Kansas City, MO
- Permanent
- Full-time
- 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.
- 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
- 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!
- 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!