
Billing Specialist for Skilled Nursing Facilities
1 day ago
We are seeking a skilled Billing Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for managing the billing and collection processes in a healthcare environment.
- Billing Management: You will 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.
Key Requirements:
- At least 1-3 years of experience in medical billing, specifically in long-term care or skilled nursing facilities.
- Strong understanding of Medicare, Medicaid, and insurance billing processes, regulations, and terminology.
- Proficiency in billing software, electronic medical records (EMR) systems, and Microsoft Office Suite.
- High level of accuracy in billing and documentation.
- Ability to communicate effectively with patients, families, insurance representatives, and staff members.
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