We are looking for an experienced Medical Biller/Collections Specialist to join our team in Duarte, California. The Medical Biller/Collections Specialist will play a vital role in managing the revenue cycle for Skilled Nursing Facility services, ensuring claims are processed accurately and efficiently while adhering to Medicare, Medi-Cal, and other insurance guidelines. This is an excellent opportunity for a meticulous individual to contribute to a dynamic healthcare environment. Responsibilities:• Prepare and submit claims to insurance payers with accuracy and timeliness, focusing on Skilled Nursing Facility services.• Investigate and resolve denied claims by identifying root causes and implementing corrective measures to reduce future denials.• Draft and submit appeals for claim denials to secure appropriate reimbursements.• Maintain comprehensive and accurate patient billing records in compliance with Medicare, Medi-Cal, and payer-specific requirements.• Follow up with insurance companies and payers to resolve outstanding claims and ensure timely reimbursements.• Stay up-to-date on federal, state, and local billing regulations to ensure strict adherence to compliance standards.• Collaborate with administrative and clinical teams to streamline billing workflows and improve documentation processes.• Generate detailed account reports that outline billing trends, claim statuses, and resolution timelines for management review.

• Minimum of 3 years of experience in medical billing and collections, specifically for Skilled Nursing Facility services. • Proficiency in handling Medicare, Medi-Cal, and other insurance claims, including denials and appeals. • Strong knowledge of billing regulations and compliance standards set by Centers for Medicare & Medicaid Services (CMS). • Experience with hospital and skilled nursing facility billing processes. • Demonstrated ability to manage health care audits related to Medicare and Medicaid. • Exceptional attention to detail and organizational skills for maintaining accurate patient records. • Effective communication skills for liaising with insurance payers and internal teams. • Familiarity with medical billing software and reporting tools.

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Duarte, CA
onsite
Contract / Temporary to Hire
23.75 - 30.01 USD / Hourly
We are looking for an experienced Medical Biller/Collections Specialist to join our team in Duarte, California. The Medical Biller/Collections Specialist will play a vital role in managing the revenue cycle for Skilled Nursing Facility services, ensuring claims are processed accurately and efficiently while adhering to Medicare, Medi-Cal, and other insurance guidelines. This is an excellent opportunity for a meticulous individual to contribute to a dynamic healthcare environment. Responsibilities:• Prepare and submit claims to insurance payers with accuracy and timeliness, focusing on Skilled Nursing Facility services.• Investigate and resolve denied claims by identifying root causes and implementing corrective measures to reduce future denials.• Draft and submit appeals for claim denials to secure appropriate reimbursements.• Maintain comprehensive and accurate patient billing records in compliance with Medicare, Medi-Cal, and payer-specific requirements.• Follow up with insurance companies and payers to resolve outstanding claims and ensure timely reimbursements.• Stay up-to-date on federal, state, and local billing regulations to ensure strict adherence to compliance standards.• Collaborate with administrative and clinical teams to streamline billing workflows and improve documentation processes.• Generate detailed account reports that outline billing trends, claim statuses, and resolution timelines for management review.
2025-09-16T20:29:10Z