Professional Medical Billing Specialist

1 day ago

Mabalacat, Central Luzon, Philippines beBeeBilling Full time ₱7,200 - ₱7,800
Skilled Nursing Facility Billing SpecialistBilling specialists in the healthcare industry play a crucial role in ensuring accurate and timely payments from insurance companies and patients. As a skilled nursing facility billing specialist, you will be responsible for managing the entire billing process, from initial submission to final payment. Your attention to detail and organizational skills will be essential in maintaining accurate records and meeting deadlines.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.
Benefits:

Work from home opportunities, flexible scheduling, and professional growth and development opportunities.

Seniority Level:

Entry-level position with opportunities for advancement.

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