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Medical Biller

Medical Biller

PrismHRHuntington Beach, CA, US
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Job Description

About the Company

Huntington Valley Healthcare Center is a 140-bed facility centrally located in Huntington Beach, CA. We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing.

About the Role

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

Qualifications

  • Must have experience in SNF billing (applications without SNF experience will not be considered).
  • Proficiency in billing Cal Optima, Medi-Cal, Medicare, and HMOs.
  • Strong knowledge of SNF-specific billing codes and reimbursement processes.
  • Experience handling claims, appeals, and denials.
  • Familiarity with electronic billing software.
  • Strong attention to detail and ability to work independently.
  • If you meet these qualifications and have Skilled Nursing Facility billing experience, we encourage you to apply!

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    Medical Biller • Huntington Beach, CA, US