Managed Care Billing Specialist

Capitol Hill Healthcare; Montgomery (AL); On-site; USD 42,000 - 64,000; Full time

Job summary

Capitol Hill Healthcare in Montgomery, AL seeks a detail-oriented Managed Care Biller to oversee the billing and accounts receivable for residents covered by managed care plans in our Skilled Nursing Facility.

You will submit claims, verify authorizations, reconcile payments, and monitor AR while ensuring compliance with contracts and industry standards. Collaboration with admissions and finance is essential for accurate billing.

Qualifications

• Experience in billing, accounts receivable, or a related financial role.
• Healthcare setting with managed care billing preferred.
• Attention to detail and accurate data entry.

Responsibilities

• Submit accurate and timely claims to managed care organizations.
• Verify pre-authorizations and documentation before submissions.
• Reconcile payments and investigate discrepancies.
• Monitor accounts receivable and follow up on denials.
• Prepare reports on billing performance and AR.
• Collaborate with admissions and finance for accurate billing.
• Ensure compliance with contracts, regulations, and policies.

Skills

Attention to detail

Data entry accuracy

Communication skills

Interpersonal skills

Billing software

Microsoft Excel

Managed care billing

Education

High school diploma or equivalent

Finance/Accounting coursework

Tools

Billing software

Microsoft Excel

Job description

Capitol Hill Healthcare in Montgomery, AL seeks a detail-oriented Managed Care Biller to oversee the billing and accounts receivable for residents covered by managed care plans in our Skilled Nursing Facility.

You will submit claims, verify authorizations, reconcile payments, and monitor AR while ensuring compliance with contracts and industry standards. Collaboration with admissions and finance is essential for accurate billing.