What are the responsibilities and job description for the Medical Billing Specialist **NOT REMOTE position at Certified Employment Group?
Now Hiring: Medical Billing SpecialistSkilled Nursing Facility | Santa Rosa, CAFull-Time | Onsite | $27 – $33 per hourWe are seeking an experienced Medical Billing Specialist for a Skilled Nursing Facility in Santa Rosa. This is a full-time, onsite position for a detail-oriented professional with strong knowledge of Medicare and Medi-Cal billing. The ideal candidate is organized, accountable, and committed to accurate and compliant billing practices while delivering excellent customer service to residents, families, and staff.Position SummaryThe Medical Billing Specialist is responsible for accurate and timely billing, accounts receivable management, and financial reporting. This role plays a key part in ensuring regulatory compliance, maximizing reimbursement, and maintaining the financial integrity of the operation.Key ResponsibilitiesPrepare and submit Skilled Nursing Facility billing, including private pay, insurance, secondary insurance, Medicare, Medi-Cal, and HMO claimsPerform accounting functions related to resident billing and statement distributionManage accounts receivable, including aging review, collections, and past-due follow-up in accordance with Best Business PracticesProvide charge-off recommendations to the Executive Director with input from the Business Services DirectorEnsure timely follow-up on Medicare, Medi-Cal, HMO, and secondary insurance claimsParticipate in Triple-Check meetings with nursing and therapy teams to ensure billing accuracyVerify insurance coverage for admissionsPrepare financial and billing reports for the Executive Director and Home Office AccountingCollaborate with Home Office Accounting to reconcile disputed or problem accountsParticipate in internal and external financial auditsMaintain accurate resident financial records, face sheets, and insurance documentationRespond professionally to resident and family inquiries regarding charges and statementsProvide excellent customer service to residents, families, coworkers, and vendorsMay assist with daily deposits and petty cash reconciliationQualificationsMinimum 3 years of Medicare and Medi-Cal billing experienceStrong knowledge of Medicare and Medi-Cal billing regulationsExperience in Skilled Nursing Facility billing preferredHigh School Diploma or GED requiredExcellent attention to detail and organizational skillsAbility to handle confidential financial and healthcare informationStrong communication and problem-solving abilitiesCompensationHourly pay range: $27 – $33 per hourCompensation is based on experience, knowledge, and qualifications.Location RequirementThis is a full-time, onsite position in Santa Rosa, California. Remote work is not available.
Salary : $27 - $33