Senior SNF Revenue Cycle Billing Specialist

KALESTA HEALTHCARE GROUP; Rocklin (CA); On-site; USD 34,000 - 62,000; Full time

Job summary

KALESTA HEALTHCARE GROUP in Rocklin, CA is seeking an Experienced Centralized Revenue Cycle Billing Specialist to manage billing for SNF facilities, ensuring Medicare/Medicaid and managed care claims are generated, validated, and submitted accurately and on time.

You will collaborate with RCM Managers and support teams, uphold HIPAA compliance, and support month-end close and A/R performance. Strong knowledge of UB-04, payer rules, and DSO reduction will help you succeed.

Qualifications

• Minimum 2–3 years of healthcare billing or revenue cycle experience preferred.
• Skilled Nursing Facility billing experience strongly preferred.
• Knowledge of Medicare Part A and B, Medicaid/Medi-Cal, Managed Care, and commercial insurance billing.
• Understanding of SNF reimbursement, UB-04 claims, payer requirements, eligibility, authorizations, denials, and A/R follow-up.
• Experience with PCC or similar healthcare billing/EHR systems preferred.
• Strong analytical, organizational, and problem-solving skills.
• Ability to manage multiple facilities, payer types, and billing deadlines simultaneously.
• Strong written and verbal communication skills.

Responsibilities

• Manage centralized billing for assigned SNF facilities and payer portfolios.
• Generate and submit Medicare, Medicaid/Medi-Cal, Managed Care, commercial, and other third-party claims.
• Validate claims for accuracy and completeness prior to submission.
• Review claim edits, rejections, and billing errors and resolve them timely.
• Ensure claims are submitted within payer and regulatory timely filing requirements.
• Maintain established billing schedules and month-end deadlines.
• Verify appropriate payer sequencing and billing information.
• Submit corrected claims, adjustments, and voids as necessary.
• Track outstanding claims through final resolution.
• Review outstanding accounts receivable to identify unbilled claims, rejected claims, payment delays, and other billing barriers.
• Work claim-related denials and coordinate necessary corrections or supporting documentation.
• Assist with reducing DSO and aged A/R through timely and accurate billing.
• Escalate systemic payer, authorization, credentialing, or billing issues that may negatively impact cash flow.
• Support reconciliation of billed services to expected reimbursement.
• Identify trends affecting reimbursement and communicate findings to Revenue Cycle leadership.

Skills

Healthcare billing

SNF billing

Medicare/Medicaid billing

UB-04 claims

PCC EHR

Analytical skills

Multi-facility billing

Communication skills

Independent with team

Tools

PointClickCare

Job description

KALESTA HEALTHCARE GROUP in Rocklin, CA is seeking an Experienced Centralized Revenue Cycle Billing Specialist to manage billing for SNF facilities, ensuring Medicare/Medicaid and managed care claims are generated, validated, and submitted accurately and on time.

You will collaborate with RCM Managers and support teams, uphold HIPAA compliance, and support month-end close and A/R performance. Strong knowledge of UB-04, payer rules, and DSO reduction will help you succeed.