• 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.