Skilled Nursing Facility Billing Specialist

7 days ago

Rizal, Philippines beBeeReimbursement Full time ₱7,200 - ₱7,800
Job Title: Skilled Nursing Facility Billing Specialist

The role of a Skilled Nursing Facility Billing Specialist is crucial for ensuring accurate and timely reimbursement for services rendered.

Key Responsibilities:
  • Billing Management: Oversee the billing process for Medicare, Medicaid, and other third-party insurance claims, ensuring compliance with government regulations and insurance policies.
  • Claims Processing: Review and process claims in accordance with regulatory standards and payer-specific guidelines.
  • Accounts Receivable: Track and manage accounts receivable, ensuring timely follow-ups on outstanding claims and payments.
  • Compliance: Ensure all billing practices are compliant with regulatory standards, including HIPAA and payer-specific guidelines.
  • Patient Billing: Generate and distribute patient bills, address patient billing inquiries, 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:

  • Proficiency in billing software and systems.
  • Strong understanding of Medicare, Medicaid, and other third-party insurance claims.
  • Excellent communication and organizational skills.
  • Ability to maintain confidentiality and handle sensitive information.
  • Attention to detail and ability to meet deadlines.

Benefits:

  • A competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A dynamic and supportive work environment.

Additional Information:

  • This position requires a strong analytical mind and attention to detail.
  • Successful candidates will be able to work independently and as part of a team.
  • The ideal candidate will have experience working in a healthcare setting and knowledge of billing regulations.

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