SNF Biller

We're in need of an SNF (Skilled Nursing Facility) Biller who will be responsible for managing the billing and collection processes in a healthcare environment, particularly for skilled nursing facilities with proficiency in using PCC(PointClickCare). The role is crucial for ensuring that the facility receives proper reimbursement for services rendered.

Key Responsibilities:

• Billing Management: Handle billing for Medicare, Medicaid, and other third-party insurance claims, ensuring timely and accurate submission.
• Claims Processing: Review and process claims in accordance with government regulations and insurance policies.
• Accounts Receivable: Track and manage accounts receivable, ensuring timely follow-ups on outstanding claims and payments.
• Compliance: Ensure all billing practices are in compliance with regulatory standards, including HIPAA and payer-specific guidelines.
• Patient Billing: Generate and distribute patient bills, answer patient billing questions, and work to resolve billing discrepancies.
• Denials & Appeals: Address claim denials and process appeals as necessary, following up with insurance companies to ensure proper payment.
• Collaboration: Work closely with the finance department, medical records team, and clinical staff to gather necessary documentation and ensure billing accuracy.
• Reporting: Prepare regular reports on billing activity, accounts receivable status, and collections for management review.

• Experience: At least 1-3 years of experience in medical billing, specifically in long-term care or skilled nursing facilities.
• Knowledge: Strong understanding of Medicare, Medicaid, and insurance billing processes, regulations, and terminology.
• Technical Skills: Proficiency in billing software, electronic medical records (EMR) systems, and Microsoft Office Suite.and PointClickCare)
• Attention to Detail: High level of accuracy in billing and documentation.
• Communication Skills: Ability to communicate effectively with patients, families, insurance representatives, and staff members.
• Knowledge of Industry Standards: Familiarity with ICD-10 and CPT coding systems, as well as experience with SNF-specific billing software (e.g., PointClickCare).