Results-driven SNF Primary Medical Biller with extensive experience in Medicare Part A, Managed Medicare, Medicaid, commercial insurance, and HMO claims (inpatient and outpatient SNF). Proficient in UB-04 and CMS-1500 claim submission, PDPM compliance, consolidated billing, Medicare exhaust tracking, and complex denial management. Experienced in Long-Term Care billing and skilled in using PCC (PointClickCare), NCS, MatrixCare, ePACES, MyAbility, Availity, and multiple payer portals for eligibility verification, claim submission, AR follow-up, and appeals. Proven ability to reduce AR days, recover underpayments, and secure accurate, timely reimbursement while maintaining strict compliance with CMS and payer guidelines.
