HMO Biller (Nursing Home Experience Preferred
Long Island, NY
Full-Time | In-Office
$60,000 $80,000
Position Overview
We are seeking an experienced HMO / A/R Biller to manage billing, collections, and payment posting for multiple facilities. This role requires strong follow-up, organization, and attention to detail to ensure accurate billing and timely collections.
Key Responsibilities
Billing & Collections
- Handle monthly billing and collections for multiple insurance payors
- Track and follow up on outstanding claims to ensure timely payment
- Maintain detailed notes and updates within internal billing systems
- Monitor aging reports and provide regular updates to management
- Ensure all required authorizations are in place prior to billing
- Manage Medicare co-insurance billing and follow-up
- Track and report denied claims, including reasons such as missing authorizations
- Provide weekly updates on account status, issues, or delays
Cash Posting
- Post and reconcile insurance payments (EFT, credit card, and deposits)
- Maintain proper documentation and backup for all transactions
- Ensure accuracy of daily and ongoing payment records
Reporting & Administrative
- Prepare and send monthly reports, including census and aging summaries
- Maintain organized billing trackers and ensure all data is up to date
- Assist with audits and additional projects as assigned
Requirements
- Experience in medical billing and collections (HMO required)
- Strong understanding of claims, denials, and insurance follow-up
- Experience in nursing home or long-term care preferred
- Detail-oriented with strong organizational skills
- Ability to manage multiple accounts and deadlines
P
Poel Group Staffing Inc.