Vensure Employer Solutions
Huntington Beach, CA, USA
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...