<p>We are seeking a detail-oriented Medical Billing Collections Specialist to join our team and ensure accurate and timely management of claims for Skilled Nursing Facility services. As a key contributor to the revenue cycle, you'll handle critical tasks such as claims submission, denials management, and appeals, while ensuring compliance with Medicare, Medi-Cal, and other insurance guidelines.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><p>Claims Submission: Accurately and promptly prepare and submit claims to insurance payers for Skilled Nursing Facility services.</p><p>Denials Management: Review denied claims, identify root causes, and implement corrective actions to minimize future denials.</p><p>Appeals: Draft and submit effective appeals for claim denials to secure appropriate reimbursements.</p><p>Billing Accuracy: Maintain detailed, accurate patient records, ensuring compliance with Medicare, Medi-Cal, and payer-specific requirements.</p><p>Follow-Up: Communicate with insurance companies and other payers to resolve outstanding claims and secure timely reimbursements.</p><p>Regulatory Compliance: Stay informed and ensure adherence to all federal, state, and local billing regulations, including compliance with HIPAA.</p><p>Collaboration: Work closely with administrative and clinical teams to optimize billing workflows and integrate documentation processes.</p><p>Reporting: Generate clear, actionable account reports showing billing trends, claim statuses, and resolution timelines for management review.</p>
