HMO Billing Specialist
37.00
Posted 08/19/2026
Contract To Hire
Contract To Hire
Job ID:
13781
Job Description
Job Title: Medicare Billing Specialist – Skilled Nursing
Location: Smithtown, NY
Job Type: Full-Time, Direct Hire
Salary: $78,000–$80,000 per year, depending on experience
Schedule: Monday–Friday, On-Site
Job Overview
We are seeking an experienced Medicare / HMO Billing Specialist to join a well-established healthcare organization in Smithtown, NY.
The ideal candidate will have prior Medicare billing experience within a skilled nursing facility, nursing home, or long-term care environment. This role will focus on Medicare, HMO, and MLTC billing, claims follow-up, and ensuring timely and accurate reimbursement.
Candidates with strong Medicare billing experience who are comfortable learning a new billing system are encouraged to apply.
Responsibilities
- Handle Medicare, HMO, and MLTC billing and claims.
- Submit and follow up on claims for timely reimbursement.
- Research and resolve denied, rejected, and unpaid claims.
- Review outstanding accounts and payment discrepancies.
- Follow up with insurance carriers regarding claim status.
- Maintain accurate billing documentation and account records.
- Monitor accounts receivable and outstanding balances.
- Work closely with the Accounts Receivable and billing teams.
- Ensure billing is completed accurately and in accordance with payer requirements.
- Assist with billing responsibilities across multiple locations as needed.
Qualifications
- Previous Medicare billing experience required.
- Skilled nursing, nursing home, or long-term care billing experience strongly preferred.
- Experience with HMO and/or MLTC billing preferred.
- Strong understanding of healthcare claims, denials, reimbursement, and accounts receivable.
- Experience using healthcare billing systems and payer portals.
- Avalon experience is a plus, but not required.
- Strong attention to detail and organizational skills.
- Ability to independently manage a high volume of claims.
- Strong communication and problem-solving skills.
If you have Medicare billing experience within a skilled nursing or long-term care setting and are looking for your next opportunity in Smithtown, NY, we encourage you to apply.
About Smithtown, NY
Ready to embark on a career adventure in beautiful Smithtown, New York? This quaint town on Long Island offers job seekers a delightful blend of small-town charm and big-city opportunities. Whether you're strolling through Blydenburgh County Park, enjoying a show at the Smithtown Center for the Performing Arts, or savoring a slice of authentic New York pizza at the local pizzeria, Smithtown has something for everyone. With easy access to nearby landmarks like the stunning Nissequogue River and vibrant art galleries, there's no shortage of inspiration to be found. Explore our job listings in the Smithtown area today and discover why this vibrant community is the perfect place to grow your career!