Senior Medi-Cal Billing Specialist - SNF

Rockport Healthcare Services; Eureka (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

Rockport Healthcare Services seeks an experienced billing professional to manage Medi-Cal claims for skilled nursing facility services. The role requires meticulous review, timely submissions, and diligent follow-up with insurers and government agencies to maintain steady cash flow.

Responsibilities include coordinating authorization, validating supporting documents, and monthly aging reviews to identify and follow up on unpaid accounts.

Qualifications

• 5 Years Managed Medi-Cal Billing Experience in a SNF environment

Responsibilities

• Submits reimbursement claims to third parties (insurance health plans, government agencies, etc.) for services rendered at assigned facilities.
• Ensures claims have the required information in the specified format. Reviews claims for errors prior to submission.
• Submits claims within the required timeframes to ensure consistent cash flow and reduce risk of technical denials for untimely filing.
• Follows up on claims to ensure third party or government agency received the claim.
• Coordinates receipt of insurance authorization with facility and maintains missing authorization log no less than weekly.
• Validates supporting documentation prior to submitting the claim including but not limited to balanced census, triple check, authorization, etc.
• Reviews aging no less than monthly and identifies unpaid accounts. Completes follow-up on all unpaid accounts monthly.

Job description

Rockport Healthcare Services seeks an experienced billing professional to manage Medi-Cal claims for skilled nursing facility services. The role requires meticulous review, timely submissions, and diligent follow-up with insurers and government agencies to maintain steady cash flow.

Responsibilities include coordinating authorization, validating supporting documents, and monthly aging reviews to identify and follow up on unpaid accounts.