Senior Medical Billing Specialist
10 hours ago
Job Summary
We are seeking an experienced Billing Professional to manage the billing and collection processes in a healthcare environment, particularly for skilled nursing facilities with proficiency in using PointClickCare.
Key Responsibilities- Billing Management: Ensure timely and accurate submission of claims for Medicare, Medicaid, and other third-party insurance policies.
- Claims Processing: Review and process claims in accordance with government regulations and insurance policies, guaranteeing accuracy and compliance.
- Accounts Receivable: Track and manage accounts receivable, ensuring timely follow-ups on outstanding claims and payments.
- Compliance: Ensure all billing practices are in line with regulatory standards, including HIPAA and payer-specific guidelines.
- Patient Billing: Generate and distribute patient bills, answer patient billing inquiries, and resolve billing discrepancies efficiently.
- 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.
- Experience: At least 1-3 years of experience in medical billing, specifically in long-term care or skilled nursing facilities.
- Knowledge: Strong understanding of Medicare, Medicaid, and insurance billing processes, regulations, and terminology.
- Technical Skills: Proficiency in billing software, electronic medical records (EMR) systems, and Microsoft Office Suite, with PointClickCare being a necessity.
- Attention to Detail: High level of accuracy in billing and documentation is required.
- Communication Skills: Ability to communicate effectively with patients, families, insurance representatives, and staff members.
Candidates with experience in medical billing and a passion for working in a fast-paced environment are encouraged to apply.
Skill Requirements- PointClickCare
- Medicare
- Medicaid
- ICD-10
- CPT coding
- Microsoft Office Suite
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