
Skilled Nursing Facility Billing Specialist
18 hours ago
As a Skilled Nursing Facility Biller, you will be responsible for managing the billing and collection processes in a healthcare environment, particularly for skilled nursing facilities with proficiency in using PCC.
Key Responsibilities:- Billing Management: Handle billing for Medicare, Medicaid, and other third-party insurance claims, ensuring timely and accurate submission
- Claims Processing: Review and process claims in accordance with government regulations and insurance policies
- Accounts Receivable: Track and manage accounts receivable, ensuring timely follow-ups on outstanding claims and payments
- Compliance: Ensure all billing practices are in compliance with regulatory standards, including HIPAA and payer-specific guidelines
- Patient Billing: Generate and distribute patient bills, answer patient billing questions, and work to resolve billing discrepancies
- Denials & Appeals: Address claim denials and process appeals as necessary, following up with insurance companies to ensure proper payment
- Collaboration: Work closely with the finance department, medical records team, and clinical staff to gather necessary documentation and ensure billing accuracy
- Reporting: Prepare regular reports on billing activity, accounts receivable status, and collections for management review
Requirements include at least 1-3 years of experience in medical billing, specifically in long-term care or skilled nursing facilities, and a strong understanding of Medicare, Medicaid, and insurance billing processes, regulations, and terminology. Proficiency in billing software, electronic medical records (EMR) systems, and Microsoft Office Suite is also required, as well as attention to detail and excellent communication skills.
Benefits:- Work from home opportunities
- Night shift schedule available
- Weekly pay
- Healthy working environment
- Entry level position available
- Full-time employment opportunity
- Accounting/Auditing and Finance
- Healthcare industry
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