Career Details

Skilled Nursing Billing Specialist

  • Job Type: Full-Time
  • Location: Claremont, NC
  • Date Posted: 7/20/2018
  • Apply By: 07/20/2023

Job Description:

Choice Health Management Services is seeking a Skilled Nursing Billing Specialist. This position is responsible for the timely billing of Medicare, Medicaid, managed care/private insurance and private pay. The qualified applicant MUST have experience as a skilled nursing home biller!!!

Essential Functions:

  • Posts payments
  • Works primary and secondary claim denials
  • Files Medicare appeals and redeterminations
  • Processes accounts for collection
  • Prepares refunds
  • Reconciles patient accounts
  • Performs end of month procedures
  • Assists patients and/or responsible party with any disputes
  • Documents all actions taken during the problem resolution process. Collaborates with other support team members as directed to deliver timely and satisfactory resolutions to reported problems
  • Escalates unresolved patient issues to the Billing Lead
  • Actively shares discovered solutions to reported problems with other team members and the departmental leader
  • Assists facility Business Office Managers, Administrators and Admission Coordinators
  • Other duties as assigned

Job Requirements:

  • 2-3 years’ experience in skilled nursing billing
  • Experience with Managed Care, Commercial and Government Payors, Medicare and Medicaid
  • Thorough knowledge of CPT Codes –ICD-10, Medical Terminology and healthcare regulation
  • Familiar with standard concepts, practices and procedures within this field
  • Working knowledge of Microsoft Office (Outlook, Excel and Word)
  • Strong attention to detail and task oriented
  • Excellent Customer Service skills, Interpersonal Skills and Communication skills (oral and written)
  • Experience working with EMR; Experience working with American HealthTech is preferred
  • Ability to maintain 100% confidentiality relating to all patients, corporate, financial and proprietary information
  • Ability to work independently as well as in a team

Salary and Benefits

We offer a competitive salary and a generous benefit package that includes Paid Time Off, Paid Holidays, Medical, Dental, Vision and Life insurance. We also offer company paid Life/ADD & Long/Short Term Disability. 401(k) Plan with a company match available also. Yearly education assistance is available for approved courses


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