Description

Robert Half is partnering with an Inver Grove Heights, Minnesota client in search of a detail-oriented Medical Billing Specialist with a strong background in billing for Skilled Nursing Facilities (SNFs). The ideal candidate will have extensive knowledge of insurance processes, Medicare/Medicaid guidelines, and exceptional problem-solving abilities to accurately support the billing and claims process.

Key Responsibilities:

• Insurance Verification: Conduct comprehensive insurance checks, including Medicare Part A& B, Medicaid, and commercial plans, ensuring accurate documentation and compliance with coverage policies for patients shifting between stays.

• Claims Preparation and Submission: Process and submit claims for DME billing such as oxygen services. Additionally you will be responsible for billing to facilities.

• Account Follow-Up: Monitor outstanding claims, perform timely follow-up on unpaid invoices, and address discrepancies or denials effectively.

• Customer Service: Develop strong relationships with patients, families, and facility staff by providing clear communication and empathetic support throughout the billing process.

• Conflict Resolution: Resolve discrepancies and handle billing-related conflicts professionally and efficiently while maintaining client satisfaction.

• Regulatory Compliance: Maintain expertise in compliance with Medicare, Medicaid, and commercial payer guidelines, including documentation and regulations specific to skilled nursing settings.

• Collaborative Teamwork: Work effectively with interdisciplinary teams to ensure accurate record keeping and payment tracking.

  Requirements

Qualifications:

• 2+ years of proven experience in medical billing, ideally with a prior focus on Skilled Nursing Facilities (SNF).

• Strong knowledge of Medicare (Part A and Part B), Medicaid, and commercial insurance coverage guidelines.

• Meticulous attention to detail, with the ability to audit and correct invoices prior to submission.

• Exemplary communication and customer service skills, with a friendly demeanor and ability to de-escalate conflicts.

• Exceptional follow-up and organizational skills to manage billing cycles and reduce delays in claim resolution.

• Strong knowledge of medical billing software and electronic health record (EHR) systems (e.g., EPIC, Cerner).

• Strong problem-solving skills to address complex claim issues is preferred, but not required.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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