Skilled Nursing Facility Billing Specialist

3 days ago

Taguig, National Capital Region, Philippines beBeeBilling Full time ₱7,200 - ₱7,800
Job Opportunity: Skilled Nursing Facility Biller

We are seeking a highly skilled and detail-oriented Skilled Nursing Facility Biller to manage the billing and collections process in a healthcare environment. As a key member of our team, you will be responsible for handling billing for Medicare, Medicaid, and other third-party insurance claims.

Key Responsibilities:
  • Billing Management: Timely and accurately submit claims to ensure prompt reimbursement from payers.
  • Claims Processing: Review and process claims according to government regulations and insurance policies.
  • Accounts Receivable: Monitor and manage accounts receivable to prevent delays in payments.
  • Compliance: Ensure all billing practices adhere to regulatory standards, including HIPAA and payer-specific guidelines.
  • Patient Billing: Generate and distribute patient bills, respond to patient billing inquiries, and resolve billing discrepancies.
  • Denials & Appeals: Address claim denials and process appeals as necessary to secure payment.
  • Collaboration: Work closely with finance, medical records, and clinical staff to ensure accurate billing and documentation.
  • Reporting: Prepare regular reports on billing activity, accounts receivable status, and collections for management review.
Requirements:
  • Experience: Minimum 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: Effective communication with patients, families, insurance representatives, and staff members.

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