HMO​/Medi-Cal Biller

Walnut Creek Skilled Nursing and Rehabilitation, 94595

$28-31 DOE

Walnut Creek Skilled Nursing and Rehabilitation is searching for a HMO/CAL biller.

• Assists in the completion of initial and re-authorizations as needed of all HMO/CAL custodial residents, including pertinent documentation necessary for approval.
• Keeps accurate and necessary tracking system for Authorizations needed.
• Completes Authorizations timely and follow up for approval.
• Submits claims for HMO/CAL’s, including follow up, phone calls and Appeals.
• Researches and follows up on HMO claims as assigned by the Office Manager and Bookkeeper, i.e. Claims submission, Appeals, follow up and correspondence; accountability to the Business Office Manager/Bookkeeper for the assigned accounts with oral and written reports of action taken.
• Assists in the Collection Process of all private accounts, including phone calls, collection letters and the policy and procedure for collections. Keeps accurate documentation on all phone calls.
• Performs assistive functions as necessary or directed, i.e. letters, phone calls, photocopying, etc.
• Relieves receptionist for breaks and lunch or whenever needed.
• Engages in cross training for all business related services.

• High School diploma or GED equivalent
• Speak, read, write and understand the English language
• AP, Payroll or Healthcare facility bookkeeping experience

We offer a competitive compensation package, healthcare benefits and excellent career growth opportunities. Health Benefits for full-time employees offered 1st of the month following hire date.

Generations Healthcare was founded upon the belief that caring for the sick, the elderly, and the infirm is a special and sacred stewardship. It is our mission to have this belief reflected in everything we do: in the presentation of our homes, in the professionalism of our staff, and in the daily delivery of care to our residents and their families.

It is our purpose that whoever enters a Generations home will be met with kindness, competence and compassion.

We invite you to make a difference in the lives of others and our residents, who represent a Lifetime of Memories, a Lifetime of Care, and a Lifetime of Love.

Please note: This position requires the successful completion of a background check, pre-employment physical, and drug screening as part of the hiring process.

The Company is an equal opportunity employer and makes employment decisions on the basis of merit. The Company prohibits unlawful discrimination against employees or applicants based on race (including traits historically associated with race, such as hair texture and protective hairstyles), religion, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, reproductive health decision making, gender, gender identity, gender expression, age, military status, veteran status, uniformed service member status, sexual orientation, transgender identity, citizenship status, pregnancy, or any other consideration made unlawful by federal, state, or local laws.

The Company also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics, or is associated with a person who has or is perceived as having any of those characteristics.