Medical Biller - Skilled Nursing Facility (SNF)

We are seeking an experienced Medical Biller with a strong background in Skilled Nursing Facility (SNF) billing. The ideal candidate has hands-on experience billing HMO, Medicare, and Medicaid claims and is knowledgeable in payer rules, compliance, and reimbursement processes. This role is critical to ensuring accurate, timely claim submission and maximizing reimbursement.

Key Responsibilities

• Submit and manage SNF claims for HMO, Medicare, and Medicaid payers.
• Review, prepare, and submit clean claims in a timely manner.
• Monitor claim status and follow up on unpaid, denied, or underpaid claims.
• Analyze EOBs and resolve billing discrepancies and denials.
• Ensure compliance with payer guidelines, CMS regulations, and SNF billing requirements.
• Post payments, adjustments, and denials accurately.
• Coordinate with clinical and administrative teams to obtain required documentation.
• Maintain accurate billing records and reports.

Requirements

• Proven experience as a Medical Biller for Skilled Nursing Facilities (SNF).

• Strong knowledge of HMO, Medicare, and Medicaid billing processes.
• Familiarity with SNF billing codes, regulations, and compliance requirements.
• Experience working with medical billing software and clearinghouses.