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.Key Responsibilities:<ul><li>Billing and Claims Management: Prepare, submit, and track medical claims for services provided in our skilled nursing facility to insurance companies, Medicare/Medicaid, and private payers.</li><li>Patient Accounts: Manage accounts receivable, follow up on outstanding payments, resolve discrepancies, and ensure timely reimbursement.</li><li>Compliance: Stay current with billing and coding regulations, including ICD-10, CPT, and HCPCS codes, ensuring compliance with HIPAA and other legal standards.</li><li>Collaboration: Work closely with admissions, case management, and clinical staff to ensure accurate coding and documentation throughout the billing process.</li><li>Denial Management: Handle rejected or denied claims, resolve issues, and resubmit claims to maintain efficient cash flow.</li><li>Reporting: Prepare regular billing and financial reports to support operational decisions.</li></ul>

Medical Billing, Medical Collections, Medical Appeals, Medical Denials, Skilled Nursing

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Duarte, CA
onsite
Contract / Temporary to Hire
24.91 - 30.91 USD / Hourly
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.Key Responsibilities:<ul><li>Billing and Claims Management: Prepare, submit, and track medical claims for services provided in our skilled nursing facility to insurance companies, Medicare/Medicaid, and private payers.</li><li>Patient Accounts: Manage accounts receivable, follow up on outstanding payments, resolve discrepancies, and ensure timely reimbursement.</li><li>Compliance: Stay current with billing and coding regulations, including ICD-10, CPT, and HCPCS codes, ensuring compliance with HIPAA and other legal standards.</li><li>Collaboration: Work closely with admissions, case management, and clinical staff to ensure accurate coding and documentation throughout the billing process.</li><li>Denial Management: Handle rejected or denied claims, resolve issues, and resubmit claims to maintain efficient cash flow.</li><li>Reporting: Prepare regular billing and financial reports to support operational decisions.</li></ul>
2025-09-30T22:24:07Z