Medical Billing Specialist **NOT REMOTE**
Job Description
Job Description
Now Hiring: Medical Billing Specialist
Skilled Nursing Facility | Santa Rosa, CA
Full-Time | Onsite | $27 – $33 per hour
We 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 Summary
The 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 Responsibilities
- Prepare and submit Skilled Nursing Facility billing, including private pay, insurance, secondary insurance, Medicare, Medi-Cal, and HMO claims
- Perform accounting functions related to resident billing and statement distribution
- Manage accounts receivable, including aging review, collections, and past-due follow-up in accordance with Best Business Practices
- Provide charge-off recommendations to the Executive Director with input from the Business Services Director
- Ensure timely follow-up on Medicare, Medi-Cal, HMO, and secondary insurance claims
- Participate in Triple-Check meetings with nursing and therapy teams to ensure billing accuracy
- Verify insurance coverage for admissions
- Prepare financial and billing reports for the Executive Director and Home Office Accounting
- Collaborate with Home Office Accounting to reconcile disputed or problem accounts
- Participate in internal and external financial audits
- Maintain accurate resident financial records, face sheets, and insurance documentation
- Respond professionally to resident and family inquiries regarding charges and statements
- Provide excellent customer service to residents, families, coworkers, and vendors
- May assist with daily deposits and petty cash reconciliation
Qualifications
- Minimum 3 years of Medicare and Medi-Cal billing experience
- Strong knowledge of Medicare and Medi-Cal billing regulations
- Experience in Skilled Nursing Facility billing preferred
- High School Diploma or GED required
- Excellent attention to detail and organizational skills
- Ability to handle confidential financial and healthcare information
- Strong communication and problem-solving abilities
Compensation
Hourly pay range: $27 – $33 per hour
Compensation is based on experience, knowledge, and qualifications.
Location Requirement
This is a full-time, onsite position in Santa Rosa, California. Remote work is not available.