Skilled Nursing Facility Medical Billing Service

The buyer requires a skilled nursing facility medical billing service for a one-year contract period. The selected vendor must provide an adequate number of billing staff to assist the agency's current team of seven personnel. Requested scope duties include obtaining referrals and pre-authorizations, verifying eligibility and benefits, reviewing bills, and processing electronic and paper claims. Additional tasks involve managing unpaid claims, verifying insurance payment accuracy, resolving payment discrepancies, billing secondary or tertiary insurances, appealing denied claims, handling billing inquiries, setting up payment plans, managing collection accounts, and updating rate changes in billing software. The buyer limits eligibility to USA onshore organizations and requires offsite performance of all work. Bidders must submit all questions no later than September 25, 2026. The buyer seeks proposals for the budget and provides no specific evaluation criteria or additional dates.