Medical Biller Specialist

14 hours ago

Mandaue City, Central Visayas, Philippines beBeeSkilled Full time ₱7,200 - ₱7,800
Skilled Nursing Facility Biller Job Description

The Skilled Nursing Facility Biller plays a vital role in managing the billing and collection processes in healthcare environments, specifically skilled nursing facilities. They are responsible for ensuring timely and accurate submission of claims to Medicare, Medicaid, and other third-party insurance providers.

This position requires strong knowledge of billing software, electronic medical records (EMR) systems, and Microsoft Office Suite, particularly PointClickCare. The successful candidate will possess excellent attention to detail, high accuracy in billing and documentation, and effective communication skills.

Responsibilities include:

  • Billing Management: Manage billing for Medicare, Medicaid, and other third-party insurance claims.
  • Claims Processing: Review and process claims according to 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 comply with regulatory standards, including HIPAA and payer-specific guidelines.
  • Patient Billing: Generate and distribute patient bills, address patient billing inquiries, and 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.

Requirements:

  • 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.and PointClickCare)
  • Attention to Detail: High level of accuracy in billing and documentation.
  • Communication Skills: Ability to communicate effectively with patients, families, insurance representatives, and staff members.
  • Knowledge of Industry Standards: Familiarity with ICD-10 and CPT coding systems, as well as experience with SNF-specific billing software (e.g., PointClickCare).

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