What are the responsibilities and job description for the REVENUE CYCLE SPECIALIST position at KALESTA HEALTHCARE GROUP?
RCM Specialist – Skilled Nursing Billing
Location: Rocklin Support Center
Employment Type: Full-Time
Position Overview
We are seeking a detail-oriented Revenue Cycle Management (RCM) Specialist with proven experience in Skilled Nursing billing to support our billing and operations. This role is responsible for accurate claim submission, accounts receivable follow-up, and essential back-office administrative functions that contribute to strong financial performance across our facilities.
Key Responsibilities
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Submit Skilled Nursing claims (Medicare A & B, Managed Care, Medicaid, Private Pay)
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Perform pre-billing reviews and participate in triple check processes
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Monitor claim status and resolve billing edits, rejections, and denials
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Conduct routine AR follow-up and document collection activity
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Verify insurance eligibility, benefits, and authorizations
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Process billing adjustments and corrections as needed
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Maintain organized billing documentation and audit-ready records
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Generate reports and support month-end billing close activities
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Collaborate with admissions, MDS, therapy, and facility leadership teams
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Assist with credentialing documentation and other administrative back-office tasks
Why Join Us
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Collaborative team environment
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Opportunity to support multiple facilities and expand expertise
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Stable full-time role with growth potential
Apply today to join a team dedicated to accuracy, accountability, and revenue cycle excellence.
Qualifications:Qualifications
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Minimum 2 years Skilled Nursing billing experience (required)
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Knowledge of Medicare SNF billing guidelines and payer requirements
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Experience with AR follow-up and denial resolution
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Strong organizational skills and attention to detail
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Proficiency in billing software and Microsoft Office
Preferred
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Experience with SNF EMR/billing platforms (e.g., PointClickCare or similar)
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Understanding of PDPM and consolidated billing rules
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Multi-facility or centralized billing experience
Salary : $30 - $40