SNF Managed Med-Cal Billler

Job in Eureka, Humboldt County, California, 95502, USA

Listing for: Rockport Healthcare Services

Full Time position
Listed on 2026-10-12

Job specializations:

Healthcare
Medical Billing and Coding, Healthcare Administration, Healthcare Compliance, Medical Office
Administrative/Clerical
Healthcare Administration

Salary/Wage Range or Industry Benchmark: 55000 - 75000 USD Yearly USD 55000.00 75000.00 YEAR

Essential Job Functions:

Submits reimbursement claims to third parties (insurance health plans, government agencies, etc.) for services rendered at assigned facilities.

Ensures claims have the required information in the specified format. Reviews claims for errors prior to submission.

Submits claims within the required time frames to ensure consistent cash flow and reduce risk of technical denials for untimely filing.

Follows up on claims to ensure third party or government agency received the claim:

Electronic billing verification no less than 48-hours after claim submission
Hard copy billing no less than 14 days after claim mailed

Coordinates receipt of insurance authorization with facility and maintains missing authorization log no less than weekly.

Validates supporting documentation prior to submitting the claim including but not limited to balanced census, triple check, authorization, etc.

Reviews aging no less than monthly and identifies unpaid accounts. Completes follow-up on all unpaid accounts monthly.

Qualifications:

5 Years Managed Medi-Cal Billing Experience in a SNF environment

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