Experienced in managing Skilled Nursing Facility (SNF) claims with comprehensive expertise across the full billing cycle. Responsibilities include accurate ICD-10 and CPT coding, timely claim submission, and diligent follow-up to ensure optimal reimbursement. Skilled in resolving claim denials through root cause analysis and direct communication with payers, while ensuring compliance with payer guidelines and regulatory standards. Proficient in verifying patient eligibility, monitoring claim status, posting payments, and reconciling account discrepancies to maintain accurate financial records. Demonstrates strict adherence to HIPAA regulations and audit-ready documentation practices. Proven ability to support and enhance financial operations through accuracy, efficiency, and compliance.
