| SUMMARY |
| The Medical Billing Specialist ensures the accuracy and efficiency of all private pay, insurance, secondary insurance, Medicare, and Medi-Cal billing in skilled nursing facilities, report verification, record maintenance, and all related accounting functions. |
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| ESSENTIAL FUNCTIONS |
| The duties listed below are considered essential to the successful performance of this position, as defined by Front Porch. Additional responsibilities may be assigned in the future and may also be considered essential to the role: * Accurately process and manage patient billing information for medical transport services. * Review and verify billing reports to ensure accuracy and compliance with company standards. * Maintain meticulous records of billing transactions, ensuring data integrity and confidentiality. * Collaborate with internal teams to resolve billing discrepancies and address patient inquiries. * Responsible for all accounting related to documenting, preparing, and distributing Care Center resident statements. * Responsible for aging/past-due account collections and analysis. * Make recommendations regarding charge-offs. * Responsible for timely follow-up on Medicare, Medi-Cal, HMO, and secondary insurance claims. * Verify insurance for Care Center admissions. * Participate in internal and external financial audits. * Perform all other related duties as assigned.
| DETAILED SKILLS NEEDED TO PERFORM ESSENTIAL FUNCTIONS |
| Communication/Interpersonal: * Effective oral and written communication skills appropriate to the audience's needs. * Excellent collaboration and team-building skills. * Effective conflict management skills. * Ability to effectively build relationships with customers and executive management. Decision Making/Organization Skills: * Demonstrates a high level of accuracy, even under pressure. * Excellent organizational skills. * Ability to perform work independently with minimal supervision. * Ability to exercise sound judgment and make decisions based on accurate and timely analysis. Productivity: * Demonstrated time management and priority-setting skills. * Ability to simultaneously handle multiple priorities. * Ability to work in a fast-paced, dynamic environment. * Ability to prioritize responsibilities and organize workload to ensure that timeframes are met and the work is completed within deadlines. * Demonstrated ability to define, develop, and analyze performance measures and metrics; exercise sound judgment and make decisions based on accurate and timely analysis. |
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| EDUCATION OR EQUIVALENT QUALIFICATIONS |
| Essential/Preferred |
Type |
Specialization |
Equivalent Experience instead of Education |
| Essential |
High School/GED |
General |
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| Preferred |
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| CREDENTIALS OR EQUIVALENT QUALIFICATIONS |
| Essential/Preferred |
Type |
Description |
| Essential |
None |
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| Preferred |
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| EXPERIENCE OR EQUIVALENT QUALIFICATIONS |
| Essential/Preferred |
Minimum Experience |
Details |
| Essential |
3 years |
Medicare and Medi-Cal billing and general knowledge of Medicare and Medi-Cal laws and regulations. |
| Preferred |
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| PHYSICAL REQUIREMENTS AND WORKING CONDITIONS |
The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions: * Must be able to remain stationary 20% of the time. * Must be able to occasionally move about the office to access file cabinets, office machinery, etc. * Must be able to occasionally move to position oneself to maintain files in file cabinets or to perform essential job functions. * Must be able to continuously operate a computer and other office productivity equipment, such as a calculator, copy machine, and computer printer, to execute the job's essential functions. * Must be able to lift or carry items: * Seldom: 11-25 pounds * Occasionally: 11-25 pounds * Frequently: 1-10 pounds * Constantly: Negligible weight * Must occasionally ascend or descend stairs to provide essential services. * Must succinctly communicate information and ideas so others will clearly understand the exchanged information. * Must consistently work in an office and assisted living facility atmosphere.
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Front Porch
$25.53 - $27.00 / hr
Jun 25, 2025