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Job description
Maxwell Group develops, owns and manages luxury retirement communities along with other related senior living care entities. Maxwell Group is based in Charlotte, North Carolina and currently manages communities in Connecticut, Florida, Georgia, Indiana, New Jersey, North Carolina, and South Carolina.
This role could be hybrid (3 days in Charlotte office/2 days work from home) or remote.
What You'll Do
The Medicare Part A Biller is responsible for the accurate and timely billing of Medicare Part A claims, ensuring compliance with federal regulations, payer requirements, and organizational policies. This position reviews patient accounts, verifies coverage, prepares and submits claims, resolves billing issues, follows up on unpaid accounts, and works closely with clinical and administrative staff to maximize reimbursement and maintain compliance.
Key responsibilities include:
Prepare and submit Medicare Part A claims accurately and within required deadlines
Verify resident eligibility, insurance coverage, authorization requirements and benefits
Ensure billing compliance with Medicare guidelines, CMS regulations, and payer-specific requirements
Review MDS and PDPM data to support billing accuracy
Identify, research, and resolve claim rejections, denials, and payment discrepancies
Process admissions, discharges, payer changes, and leave of absence billing
Monitor Medicare accounts receivable and follow up on outstanding claims
Collaborate with admissions, nursing, therapy, MDS, and business office teams
Reconcile payments, remittances, and account balances.
Assist with audits, appeals, and additional documentation requests
What We're Looking For Minimum of 3 years of Medicare Part A billing experience, preferably in a Skilled Nursing Facility.
Strong knowledge of Medicare regulations, UB-04 billing, and reimbursement processes.
Understanding of PDPM and MDS-related reimbursement requirements.
Experience with PointClickCare, MatrixCare, AHT, or other long-term care software is a plus.
Strong attention to detail and problem-solving skills.
Excellent communication and organizational abilities.
Proficiency in Microsoft Office, especially Excel.
Key Competencies Knowledge of Medicare Part A billing regulations
Claims processing and accounts receivable management
Denial resolution and appeals management
Compliance and audit readiness
Data analysis and reconciliation
Time management and organization
Customer service and communication
Problem-solving and critical thinking
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Worksite address
charlotte, NC, 28245, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.