Skilled Nursing Facility Billing Professional

2 weeks ago

Porac, Philippines beBeeMedical Full time $7,200 - $7,800

We are seeking a Medical Billing Specialist to manage the billing and collection processes in a healthcare environment. The successful candidate will be responsible for handling Medicare, Medicaid, and other third-party insurance claims.

Key Responsibilities:
  • Billing Management: Timely and accurate submission of claims
  • 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:
  • 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

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