Skilled Nursing RCM Specialist | AR & Denials Expert
Kalesta Healthcare Group LLC
RCM Specialist – Skilled Nursing BillingLocation: Rocklin Support CenterEmployment Type: Full-TimePosition OverviewWe are seeking a detail-oriented Revenue Cycle Management (RCM) Specialist with proven experience in Skilled Nursing billing to support our billing and operations. This role is responsible for accurate claim submission, accounts receivable follow-up, and essential back-office administrative functions that contribute to strong financial performance across our facilities.Key ResponsibilitiesSubmit Skilled Nursing claims (Medicare A & B, Managed Care, Medicaid, Private Pay)Perform pre-billing reviews and participate in triple check processesMonitor claim status and resolve billing edits, rejections, and denialsConduct routine AR follow-up and document collection activityVerify insurance eligibility, benefits, and authorizationsProcess billing adjustments and corrections as neededMaintain organized billing documentation and audit-ready recordsGenerate reports and support month-end billing close activitiesCollaborate with admissions, MDS, therapy, and facility leadership teamsAssist with credentialing documentation and other administrative back-office tasksWhy Join UsCollaborative team environmentOpportunity to support multiple facilities and expand expertiseStable full-time role with growth potentialApply today to join a team dedicated to accuracy, accountability, and revenue cycle excellence.QualificationsMinimum 2 years Skilled Nursing billing experience (required)Knowledge of Medicare SNF billing guidelines and payer requirementsExperience with AR follow-up and denial resolutionStrong organizational skills and attention to detailProficiency in billing software and Microsoft OfficePreferredExperience with SNF EMR/billing platforms (e.g., PointClickCare or similar)Understanding of PDPM and consolidated billing rulesMulti-facility or centralized billing experience #J-18808-Ljbffr Kalesta Healthcare Group LLC
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