Managed Care Biller Long Term Care Skilled Nursing Only

Serenity Estates; Charleston (IL); On-site; USD 52,000 - 68,000; Full time

Job summary

Serenity Estates in Charleston, IL is seeking a Managed Care Biller with SNF billing experience to join our on-site billing team. The role focuses on accurate managed care and commercial claim submission, authorizations, and denials follow-up within a skilled nursing environment.

You will work closely with facility staff, ensure payer contract compliance, and use PointClickCare for billing and claim tracking. Strong attention to detail is essential.

Qualifications

• MUST have SNF billing experience (managed care focus strongly preferred).
• 2-4+ years of managed care or commercial billing experience in healthcare.
• Strong understanding of payer contracts, authorizations, and billing requirements.
• Experience with PointClickCare (PCC) required.

Responsibilities

• Managed Care Billing: Prepare and submit managed care and commercial insurance claims accurately and on time.
• Authorizations & Documentation: Verify authorizations and align services with approved coverage.
• Denials & Follow-Up: Investigate and resolve denied or rejected claims; resubmit promptly.
• Payer Communication & Systems: Communicate with payers; use PCC for billing and claim tracking.

Skills

SNF billing experience

Managed care billing

Payer contracts

Authorizations

Denials & follow-up

Payer communication

Tools

PointClickCare (PCC)

Job description

Managed Care Biller

Location: Charleston, Illinois - On-Site (NOT A REMOTE POSITION)

PLEASE READ BEFORE APPLYING: Skilled Nursing Facility Experience REQUIRED- This position REQUIRES prior billing, accounts receivable, or payer follow-up experience in Skilled Nursing Facility (SNF) or Long Term Care (LTC) environment. Candidates whose billing is limited to hospitals, physician practices, outpatient clinics, dental offices or NON- SNF facilities, WILL NOT meet the requirements for this position.
Reports To: Billing Director

About the Opportunity

The Managed Care Biller is responsible for the accurate and timely billing of all managed care and commercial insurance claims within a skilled nursing environment. This role requires a strong understanding of payer contracts, authorizations, and billing nuances unique to managed care.

Key Responsibilities

Managed Care Billing

• Prepare and submit managed care and commercial insurance claims accurately and on time
• Ensure all claims meet payer-specific requirements and contract terms
• Track billing cycles and ensure deadlines are consistently met

Authorizations & Documentation

• Verify authorizations and ensure services billed align with approved coverage
• Work closely with facility teams to obtain required documentation
• Ensure accuracy of patient information, payer details, and billing codes

Denials & Follow-Up

• Investigate and resolve denied or rejected claims
• Correct and resubmit claims promptly
• Coordinate with AR team to ensure timely collections

Payer Communication

• Communicate with managed care payers regarding claim status, discrepancies, and payment delays
• Understand and apply payer contracts, rates, and billing requirements

Systems

• Utilize PointClickCare (PCC) for billing and claim tracking
• Maintain accurate and organized billing records

Qualifications

• MUST have SNF billing experience (managed care focus strongly preferred)
• 2-4+ years of managed care or commercial billing experience in healthcare
• Strong understanding of payer contracts, authorizations, and billing requirements
• Experience with PointClickCare (PCC) required
• Strong attention to detail and follow-through
• Ability to manage multiple payers and deadlines simultaneously