Senior Billing & Operations Lead — Skilled Nursing

Vertical Health Services; St. Louis (MO); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Health, Dental, and Vision Insurance

$100/month company contribution to anH

Daily Pay Option

401K

Employer paid life insurance 1x annual

Paid Time Off & Flexibility

Generous Paid Time Off

Personal Day Benefit

Guidance and assistance from regional팀

Job summary

Vertical Health Services is seeking a Business Office Manager to lead billing, AR, and collections in a skilled nursing setting. A minimum of 2 years in skilled nursing billing is preferred, with strong collaboration across departments to ensure regulatory compliance and accurate financial operations.

The role may also oversee accounts payable and payroll, including staff hours, PTO requests, and benefits administration, supported by a regional team.

Qualifications

• Minimum 1 year of relevant long-term care billing experience.
• Solid understanding of Medicare and Medicaid payer systems in a skilled nursing setting.
• Proficiency in census tracking, insurance verification, billing, and collections.
• Experience with Medicaid application processes and resident trust accounting.
• Familiarity with Point Click Care and Excel is a plus.

Responsibilities

• Oversee all billing, accounts receivable, and collections activities with timely, accurate financial management.
• Supervise billing and collections personnel to meet cash collection and AR targets.
• Collaborate with other department heads to ensure regulatory compliance.
• Optionally oversee accounts payable and payroll functions, including PTO tracking and benefits administration.

Skills

Long-term care billing

AR management

Medicare/Medicaid payer systems

Census tracking

Insurance verification

Billing and collections

Resident trust accounting

Tools

Point Click Care

Excel

Job description

Vertical Health Services is seeking a Business Office Manager to lead billing, AR, and collections in a skilled nursing setting. A minimum of 2 years in skilled nursing billing is preferred, with strong collaboration across departments to ensure regulatory compliance and accurate financial operations.

The role may also oversee accounts payable and payroll, including staff hours, PTO requests, and benefits administration, supported by a regional team.