Medical Billing Specialist - SNF Experience

Robert Half is partnering with an Inver Grove Heights, Minnesota client in search of a detail-oriented Medical Billing Specialist with a strong background in billing for Skilled Nursing Facilities (SNFs). The ideal candidate will have extensive knowledge of insurance processes, Medicare/Medicaid guidelines, and exceptional problem-solving abilities to accurately support the billing and claims process.

Key Responsibilities:

• Insurance Verification: Conduct comprehensive insurance checks, including Medicare Part A& B, Medicaid, and commercial plans, ensuring accurate documentation and compliance with coverage policies for patients shifting between stays.
• Claims Preparation and Submission: Process and submit claims for DME billing such as oxygen services. Additionally you will be responsible for billing to facilities.
• Account Follow-Up: Monitor outstanding claims, perform timely follow-up on unpaid invoices, and address discrepancies or denials effectively.
• Customer Service: Develop strong relationships with patients, families, and facility staff by providing clear communication and empathetic support throughout the billing process.
• Conflict Resolution: Resolve discrepancies and handle billing-related conflicts professionally and efficiently while maintaining client satisfaction.
• Regulatory Compliance: Maintain expertise in compliance with Medicare, Medicaid, and commercial payer guidelines, including documentation and regulations specific to skilled nursing settings.
• Collaborative Teamwork: Work effectively with interdisciplinary teams to ensure accurate record keeping and payment tracking.

Qualifications:

• 2+ years of proven experience in medical billing, ideally with a prior focus on Skilled Nursing Facilities (SNF).
• Strong knowledge of Medicare (Part A and Part B), Medicaid, and commercial insurance coverage guidelines.
• Meticulous attention to detail, with the ability to audit and correct invoices prior to submission.
• Exemplary communication and customer service skills, with a friendly demeanor and ability to de-escalate conflicts.
• Exceptional follow-up and organizational skills to manage billing cycles and reduce delays in claim resolution.
• Strong knowledge of medical billing software and electronic health record (EHR) systems (e.g., EPIC, Cerner).
• Strong problem-solving skills to address complex claim issues is preferred, but not required.