Medical Billing Specialist
7 days ago
Reliant Management Group is a well-established Medical Billing and Consulting Company providing services to Skilled Nursing Facilities. We are seeking an experienced and skilled Medical Biller who can work independently and efficiently, as well as collaborate effectively with the rest of the team, to manage multiple tasks and maintain a high level of organization.
Key Responsibilities:
- Timely submission of claims to various payers, including Medicare A & B, Medicaid (MCO), HMO, and Hospice
- Understanding and navigating complex reimbursement arrangements to ensure accurate claim processing
- Identifying areas for improvement in claim submission data to reduce claim denials and optimize revenue cycle performance
- Responding to payer inquiries and resolving billing issues in a timely and professional manner
- Managing and collecting aging accounts while maintaining current cash flow
- Efficiently utilizing the Point Click Care (PCC) program to streamline billing processes
- Updating internal reports and performing month-end close as instructed
Essential Qualifications:
- Proven experience working with Medicare, Medi-Cal, and Managed Care/HMOs
- Ability to make informed decisions and consult management as needed
- Proficiency in Microsoft Office
- At least 3 years of experience in Skilled Nursing Facilities as a Business Office Manager or Assistant Business Manager
Candidates must have prior experience in medical billing and a strong understanding of the healthcare revenue cycle.
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Medical Billing Specialist
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