Hycare International Co., Ltd - San Leandro, CA

posted 4 days ago

Part-time,Full-time - Entry Level
San Leandro, CA
Nursing and Residential Care Facilities

About the position

The Medical Biller for Accounts Receivable at Hycare Inc. is responsible for managing the billing processes within a skilled nursing facility. This role involves preparing claim data for Medicare and Medical, processing payment denials, and ensuring timely billing and follow-up on outstanding balances. The position requires strong communication skills and proficiency in billing software, with a focus on providing excellent customer service to patients and their families.

Responsibilities

  • Prepares claim data for transmission to Medicare and Medical.
  • Review and process payment denials.
  • Organizes billing and re-billing materials.
  • Produces reports and aging from billing system to provide feedback to management.
  • Review and work aging balances until payment is received.
  • Works with patients and patient families on the medical application process.
  • Balances and controls resident Trust accounts.
  • Requests and tracks custodial HMO authorizations.
  • Completes and processes requests for Medical TARS.
  • Bills out HMO and Medicare A co-insurance.
  • Handles all Business Office functions and other duties as assigned.

Requirements

  • Experience in Skilled Nursing Facility (SNF) billing is preferred.
  • Full knowledge of how to bill Medicare, Medical/Medicaid, Hospice, co-insurance, and Private pay.
  • Excellent communication skills, both verbal and written.
  • Proficient in the billing process and timeliness of billing.
  • Detail-oriented with excellent analytical and problem-solving skills.
  • Strong knowledge of the admissions process and insurance verification process.
  • Knowledge of Trust account processes.

Nice-to-haves

  • Experience with Microsoft Office (1 year preferred).
  • Administrative experience (1 year required).

Benefits

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
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