Skilled Nursing Facility Professional

3 days ago

Manila, National Capital Region, Philippines beBeeBiller Full time ₱7,200 - ₱7,800
Job Title: Skilled Nursing Facility Biller

We are seeking a detail-oriented and organized Skilled Nursing Facility Biller to join our team. The successful candidate will be responsible for managing the billing and collection processes in a healthcare environment, particularly for skilled nursing facilities with proficiency in using PCC(PointClickCare). The role is crucial for ensuring that the facility receives proper reimbursement for services rendered.

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.
Required Skills and Qualifications:
  • 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.
  • 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.
  • Industry Standards: Familiarity with ICD-10 and CPT coding systems, as well as experience with SNF-specific billing software (e.g., PointClickCare).
Benefits:
  • Work-from-Home Opportunity: This position offers the flexibility to work from home, allowing you to maintain a healthy work-life balance.
  • Night Shift (EST): We offer a night shift schedule to accommodate your preferences.
  • Weekly Pay: Enjoy regular paychecks every week, providing financial stability.

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