Medicare Billing Services

The State of Idaho, through its Division of Purchasing, seeks a qualified firm to provide comprehensive Medicare Part A & B and third‑party insurance billing services for the four Idaho State Veterans Homes. The contractor will handle claim submission, follow‑up, reconciliation, reporting, training, and audit support under a firm‑fixed‑fee, indefinite‑quantity arrangement. The work spans an initial two‑year term with possible extensions to six years, requiring strict performance standards, HIPAA compliance, and data security. • Core duties include full‑cycle Medicare billing, triple‑check verification, claims follow‑up, and monthly/annual reporting. • Contractor must maintain 100 % timely claim submission, ≥ 95 % clean‑claim rate, and resolve denials within 10 business days. • Must provide a primary and backup point‑of‑contact, adhere to HIPAA Business Associate requirements, and support audits and policy development.