<p>A Healthcare organization in the city of Duarte is looking for a skilled Medical Billing Collections Specialist. The Medical Billing Collections Specialist must have at least 4 years of experience in the health care industry. The ideal candidate for this open position would have experience in skilled nursing or related fields.</p><p><strong>Key Responsibilities:</strong></p><ul><li><strong>Billing and Claims Management:</strong> Prepare, submit, and track medical claims for services provided in our skilled nursing facility to insurance companies, Medicare/Medicaid, and private payers.</li><li><strong>Patient Accounts:</strong> Manage accounts receivable, follow up on outstanding payments, resolve discrepancies, and ensure timely reimbursement.</li><li><strong>Compliance:</strong> Stay current with billing and coding regulations, including ICD-10, CPT, and HCPCS codes, ensuring compliance with HIPAA and other legal standards.</li><li><strong>Collaboration:</strong> Work closely with admissions, case management, and clinical staff to ensure accurate coding and documentation throughout the billing process.</li><li><strong>Denial Management:</strong> Handle rejected or denied claims, resolve issues, and resubmit claims to maintain efficient cash flow.</li><li><strong>Reporting:</strong> Prepare regular billing and financial reports to support operational decisions.</li></ul><p><br></p>
