Billing Director

Serenity Estates; Charleston (IL); On-site; USD 90,000 - 130,000; Full time

Job summary

Serenity Estates is seeking a Billing Director to lead daily billing operations across multiple facilities in Charleston, Illinois, on-site. You will drive timely claim submissions and optimize cash collections.

Responsibilities include supervising SNF billing staff, ensuring Medicare/Medicaid compliance, validating claims in PCC, and reporting KPIs to Revenue Cycle leadership.

The ideal candidate has 5+ years of SNF billing experience with leadership, and a proven record of process improvements.

Qualifications

• MUST have Skilled Nursing Facility (SNF) billing experience.
• 5+ years of billing experience with leadership responsibilities preferred.
• Strong knowledge of Medicare and Medicaid billing processes.
• Experience with PointClickCare (PCC) required.
• Proven ability to manage teams and drive collections performance.

Responsibilities

• Oversee daily billing operations across multiple facilities.
• Ensure timely and accurate claim submission across all payer types.
• Enforce strict billing timelines and hold teams accountable to deadlines.
• Directly manage and support billing staff across facilities.
• Provide training, guidance, and performance management to billers.
• Establish clear workflows, expectations, and productivity standards.
• Drive 95%+ collection rate goals across the portfolio.
• Monitor AR aging and ensure timely follow-up on outstanding balances.
• Escalate and resolve complex billing or collection issues.
• Review claims for accuracy prior to submission.
• Identify and correct billing errors, missed charges, and revenue gaps.
• Ensure compliance with Medicare, Medicaid, and payer requirements.

Skills

SNF billing

Leadership

Medicare/Medicaid billing

PCC experience

Team management

Tools

PointClickCare (PCC)

Job description

Billing Director

Location: Charleston, Illinois (on-site)
Travel: As needed
Reports To: Director of Revenue Cycle

About the Opportunity

A multi-state skilled nursing organization is seeking an experienced Billing Director to lead and oversee day-to-day billing operations across all facilities. This individual will play a key role in ensuring timely billing, strong collections performance, and accountability across the billing team.

Key Responsibilities

Billing Operations Leadership

• Oversee daily billing operations across multiple facilities
• Ensure timely and accurate claim submission across all payer types
• Enforce strict billing timelines and hold teams accountable to deadlines

Team Oversight

• Directly manage and support billing staff across facilities
• Provide training, guidance, and performance management to billers
• Establish clear workflows, expectations, and productivity standards

Collections & AR Performance

• Drive 95%+ collection rate goals across the portfolio
• Monitor AR aging and ensure timely follow-up on outstanding balances
• Escalate and resolve complex billing or collection issues

Quality Control & Accuracy

• Review claims for accuracy prior to submission
• Identify and correct billing errors, missed charges, and revenue gaps
• Ensure compliance with Medicare, Medicaid, and payer requirements

Systems & Reporting

• Oversee billing functions within PointClickCare (PCC)
• Track and report on KPIs including billing timeliness, AR days, and collections
• Provide regular updates to Revenue Cycle leadership

Qualifications

• MUST have Skilled Nursing Facility (SNF) billing experience
• 5+ years of billing experience, with leadership responsibilities preferred
• Strong knowledge of Medicare and Medicaid billing processes
• Experience with PointClickCare (PCC) required
• Proven ability to manage teams and drive collections performance
• Detail-oriented with strong organizational and problem-solving skills