Job Details

Snf (Skilled Nursing Facility) 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.