Overview:

Our client is looking for a Medical Billing Support Specialist to support day-to-day medical billing coordination, timely response, and administrative workflows for a facility-based geriatrics practice serving skilled nursing facilities (SNFs) and assisted living facilities (ALFs).

This position is ideal for a highly organized professional with strong follow-through, billing coordination experience, and the ability to manage multiple workflows while serving as a key liaison between leadership and the client's external billing company. This is not a direct billing/coding position; it is to support the contracted billing company by responding to queries, obtaining prior authorizations and demographics, and assisting in any other areas as needed.

Schedule: Monday - Friday, 8:00 AM - 5:00 PM PST [Fresno, CA], with 1 hour unpaid/paid break (40 work hours per week)

Responsibilities:

• Serve as the primary point of contact with the external billing company
• Review weekly denial reports and assist with billing and payer inquiries, patient demographic corrections, issue escalation and follow-up, and directly calling insurance, if needed
• Participate in workflow improvements, including shared documentation and escalation tracking processes
• Prepare different reports related to billing, claims, denials, and non-payments
• Process patient credit card payments accurately and securely
• Ensure proper documentation and reconciliation of payments
• Assist with Home Health Certification billing
• Coordinate with the external billing company to ensure efficient exchange of required documentation and information
• Track and follow up on outstanding items as needed

Requirements:

• Extensive knowledge in medical billing and coding workflow, denial follows, and seeking prior authorization
• Experience coordinating with third-party billing companies
• Prior experience in a medical office, geriatrics practice, or long-term care setting preferred
• Familiarity with PointClickCare, GeriMed, EHR systems, and fax platforms strongly preferred
• Strong attention to detail and ability to identify documentation gaps
• Knowledge of HIPAA and patient privacy requirements
• Effective written and verbal communication skills
• Ability to manage recurring, deadline-driven tasks independently

Performance Expectations:

• Timely and accurate response in medical billing inquiries regarding claims, denials, and non-payments
• Consistent follow-ups, review of weekly and monthly report data submitted by the client's third-party billing partners
• Close monitoring and coordination with the client's billing partners with regards to claim status, denials, and reimbursement
• Clear communication with providers, facilities, and billing partners
• Maintenance of organized, auditable records

Independent Contractor Perks:

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage for eligible locations

Note:

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.