Responsible for submitting reimbursement claims to third parties, including insurance health plans and government agencies, for services rendered at assigned facilities.
Reviews claims for accuracy and required formatting before submission.
Submits claims within required timeframes to support cash flow and reduce the risk of technical denials.
Follows up on claims to confirm receipt by third parties or government agencies.
Coordinates receipt of insurance authorizations with the facility and maintains a missing authorization log.
Validates supporting documentation before claim submission, including balanced census, triple check, and authorization materials.
Reviews aged accounts monthly and completes follow-up on unpaid accounts.
5 years of Managed Medi-Cal billing experience in a SNF environment.
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago