Medical Biller - Huntington Beach, CA

Vensure Employer SolutionsHuntington Beach, CA
11d

About The Position

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.

Requirements

  • 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
  • Must have experience in SNF billing (applications without SNF experience will not be considered)
  • Experience handling claims, appeals, and denials

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
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