SNF Managed Med-Cal Billler - Eureka

Essential Job Functions:

1. Submits reimbursement claims to third parties (insurance health plans, government agencies, etc.) for services rendered at assigned facilities.

2. Ensures claims have the required information in the specified format. Reviews claims for errors prior to submission.

3. Submits claims within the required timeframes to ensure consistent cash flow and reduce risk of technical denials for untimely filing.

4. Follows up on claims to ensure third party or government agency received the claim:

a. Electronic billing verification no less than 48-hours after claim submission

b. Hard copy billing no less than 14 days after claim mailed

5. Coordinates receipt of insurance authorization with facility and maintains missing authorization log no less than weekly.

6. Validates supporting documentation prior to submitting the claim including but not limited to balanced census, triple check, authorization, etc.

7. Reviews aging no less than monthly and identifies unpaid accounts. Completes follow-up on all unpaid accounts monthly.

Qualifications: 5 Years Managed Medi-Cal Billing Experience in a SNF environment