Overview
Newaygo Medical Care Facility is seeking a detail-oriented, experienced Skilled Nursing Facility (SNF) Biller to join our team. This position plays a critical role in ensuring accurate and timely billing, reimbursement, and compliance with all applicable regulations. The ideal candidate will have prior experience in a Skilled Nursing Facility Business Office, and demonstrate strong knowledge of Medicare and Medicaid billing processes.
Key Responsibilities:
· Prepare and submit claims for Medicare, Medicaid, and Managed Care payers, including Part A, Part B, and coinsurance.
· Prepare and distribute private pay statements.
· Post payments and process adjustments according to payer guidelines.
· Monitor accounts receivable, investigate and resolve any unpaid or denied claims, and manage appeals as necessary.
· Communicate with insurance companies, residents, and responsible parties regarding billing inquiries.
· Perform collections including phone, in person, and written communications.
· Assist with claim audits and secondary reviews.
· Monitor Level of Care Determinations (LOCDs) to ensure appropriate compliance to protect assurance of reimbursement.
· Issue and track Notices of Medicare Non-Coverage (NOMNCs) and Advance Beneficiary Notices (ABNs) in compliance with CMS guidelines.
· Work collaboratively with clinical and administrative staff to ensure accurate documentation and billing practices.
· Stay current with CMS regulations and payer requirements to ensure optimal reimbursement and compliance with current guidelines.
Qualifications
· High school diploma required; associate’s or bachelor's degree in accounting or related field preferred.
· Minimum 3-5 years of SNF Billing experience required.
· Knowledge of CMS guidelines for LOCD, NOMNC, and ABN.
· Demonstrated understanding of Medicare Part A & B, Medicaid, Managed Care, and Private insurance billing.
· Familiarity with SNF Consolidated Billing and PDPM reimbursement methodology
· Experience with EMR and SNF billing systems, such as Point Click Care and Waystar.
· Some understanding of ICD-10 coding preferred.
Skills and Competencies
· Exceptional attention to detail and accuracy
· Strong analytical, organizational, and time management skills
· Ability to manage multiple priorities and deadlines
· Professional demeanor, with excellent communication and problem-solving skills
· Commitment to maintaining confidentiality and compliance standards
· Proficiency in Microsoft Office
Why join our team?
At Newaygo Medical Care Facility, we are committed to providing high-quality care to our residents while fostering a supportive and professional work environment for our staff. We value integrity, teamwork, and dedication, and we are looking for individuals who share our passion for excellence in healthcare.
Pay: From $33.00 per hour
Benefits:
- Bereavement leave
- Dental insurance
- Health insurance
- Health savings account
- Paid time off
- Retirement plan
- Vision insurance
Education:
- High school or equivalent (Preferred)
Experience:
- SNF Billing : 3 years (Required)
Ability to Commute:
- Fremont, MI 49412 (Preferred)
Work Location: In person
