Medical Biller Huntington Beach CA

Vensure Employer Solutions; Huntington Beach (CA); On-site; USD 45,000 - 70,000; Full time

Job summary

An established industry player is looking for a skilled Medical Biller with expertise in Skilled Nursing Facility billing. This role involves processing and submitting claims for various insurance plans, including Cal Optima and Medi-Cal, while ensuring compliance with industry regulations. The ideal candidate will possess strong attention to detail and the ability to work independently, resolving billing discrepancies and managing claims effectively. Join a dynamic team where your contributions will directly impact the financial health of the organization and provide essential services to patients in need.

Qualifications

• Must have experience in Skilled Nursing Facility billing.
• Strong knowledge of billing codes and reimbursement processes.

Responsibilities

• Process and submit claims for Skilled Nursing Facility services.
• Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans.
• Follow up on claims to ensure timely reimbursement.

Skills

Billing Cal Optima

Billing Medi-Cal

Billing Medicare

Billing HMO plans

Attention to detail

Independent work

Education

Experience in SNF billing

Tools

Electronic billing software

Job description

Position Summary

We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. Candidates must have prior experience in an SNF setting and be proficient in billing Cal Optima, Medi-Cal, and HMO insurances.

Essential Duties And Responsibilities

• Process and submit claims for Skilled Nursing Facility services
• Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans
• Follow up on claims to ensure timely reimbursement
• Resolve billing discrepancies and denials
• Verify patient insurance eligibility and benefits
• Maintain compliance with industry regulations and payer guidelines
• Work closely with facility staff and insurance providers to ensure accurate billing
  
  

Knowledge, Skills, and Abilities

• Proficiency in billing Cal Optima, Medi-Cal, Medicare, and HMOs
• Strong knowledge of SNF-specific billing codes and reimbursement processes
• Familiarity with electronic billing software
• Strong attention to detail and ability to work independently
  
  

Education & Experience

• Must have experience in SNF billing (applications without SNF experience will not be considered)
• Experience handling claims, appeals, and denials
  
  

If you meet these qualifications and have Skilled Nursing Facility billing experience, we encourage you to apply!