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!