About the role
Now Hiring: Experienced Medical Biller – Skilled Nursing Facility (SNF)
Work Setup: Work From Home (WFH)
We are looking for an experienced and detail-oriented Medical Biller with a strong background in Skilled Nursing Facility (SNF) billing, including HMO, Medicare, Medicaid, and Accounts Receivable (AR) management.
The ideal candidate should have hands-on experience with insurance claims processing, denial management, and payment follow-ups, along with a solid understanding of healthcare billing procedures and insurance requirements.
Key Responsibilities:
• Generate, review, and submit accurate claims to Medicare, Medicaid, HMO, and other insurance providers.
• Investigate claim denials, underpayments, and billing discrepancies, and take appropriate action to resolve them.
• Follow up on outstanding claims and manage accounts receivable to ensure timely reimbursement.
• Obtain and verify prior authorizations as required by insurance providers.
• Verify residents’ insurance eligibility, coverage, and benefits.
• Review and interpret EOBs (Explanation of Benefits), UB-04 forms, and insurance remittances.
• Handle administrative tasks related to medical billing, documentation, and claims processing.
• Maintain accurate billing records and follow up with insurance companies regarding claim status and payment issues.
• Ensure compliance with HIPAA regulations and maintain the confidentiality of patient information.
Qualifications:
• Proven experience in medical billing, preferably in a Skilled Nursing Facility (SNF) setting.
• Strong knowledge of Medicare, Medicaid, HMO, and other insurance billing requirements.
• Experience in AR management, claims follow-up, denial resolution, and underpayment investigation.
• Familiarity with prior authorizations, insurance verification, EOBs, and UB-04 billing forms.
• Knowledge of HIPAA compliance and patient confidentiality requirements.
• Strong attention to detail, organizational skills, and problem-solving abilities.
• Good written and verbal communication skills.
• Ability to work independently, manage priorities, and meet deadlines.
Preferred Qualifications:
• Previous experience with SNF billing systems and insurance portals.
• Familiarity with long-term care billing, Medicare Part A and Part B, and managed care plans.
• Ability to work effectively in a remote work environment.
How to Apply:
Interested applicants are encouraged to send their updated resume to (Check How to Apply). Please highlight your relevant medical billing experience, particularly in SNF billing, insurance follow-ups, and AR management.
This is a work-from-home opportunity for candidates with the right experience.
We look forward to welcoming a qualified and motivated professional to our team!