SNF Billing Team Lead

Reliant Care Management Company; Beachwood (OH); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Disability Insurance

Life Insurance

Employee Assistance Program

401(k)

Paid Time Off

Job summary

Reliant Care Management Company is seeking a Billing Team Lead to guide the billing team in ensuring timely and accurate submission of insurance claims, while maintaining compliance with Medicare, Medicaid, and other payer requirements. The role focuses on improving revenue cycle performance and reducing denials.

The ideal candidate will have strong healthcare billing knowledge, leadership experience, and proficiency with PCC and Excel, enabling effective collaboration with facility leadership

Qualifications

• Strong knowledge of Medicare and Medicaid billing regulations.
• Previous healthcare billing, accounts receivable, or revenue cycle experience.
• Leadership or supervisory experience preferred.
• Experience with PointClickCare (PCC) strongly preferred.
• Knowledge of payer contracts and third-party payer processes.

Responsibilities

• Provide day-to-day leadership and support to the billing team.
• Monitor workflows, claim status, and outstanding AR to ensure timely follow-up.
• Oversee Medicare, Medicaid, Managed Care, and other third-party claims.
• Ensure claims are submitted accurately to minimize denials and delays.
• Review AR aging and identify trends and improvement opportunities.
• Assist specialists with complex claims, denials, and eligibility issues.
• Ensure compliance with contracts, regulators, and company policies.
• Maintain accurate PCC documentation.
• Collaborate with facility leadership to resolve billing issues and obtain documentation.
• Verify patient and payer information and ensure proper billing according to guidelines.
• Investigate delinquent accounts and develop collection strategies.
• Communicate with payers regarding outstanding claims.

Skills

Leadership

Excel

Communication

Analytical skills

Organizational skills

Medicare/Medicaid billing knowledge

Billing accuracy

Payer communication

Tools

PointClickCare (PCC)

Microsoft Office Suite

Job description

Billing Team Lead

We are seeking a highly organized, knowledgeable, and results-driven Billing Team Lead to join our team. The ideal candidate will bring strong healthcare billing expertise, exceptional attention to detail, and the leadership skills necessary to support and guide a high-performing billing team.

Our pillars for successful employment are simple: Work Ethic. Integrity. Competence.

The Billing Team Lead will oversee day-to-day billing operations while supporting Billing Specialists in the timely and accurate submission, follow-up, and resolution of insurance claims. This position plays a key role in maintaining a strong revenue cycle, reducing outstanding accounts receivable, and ensuring compliance with Medicare, Medicaid, Managed Care, and other payer requirements.

Job Responsibilities & Duties

• Provide day-to-day leadership, guidance, and support to the billing team.

• Monitor team workflows, productivity, claim status, and outstanding accounts to ensure timely follow-up and resolution.

• Oversee the timely and accurate billing of Medicare, Medicaid, Managed Care, and other third-party insurance claims.

• Ensure claims are submitted accurately and promptly to minimize denials and payment delays.

• Review accounts receivable aging and work collaboratively with the billing team to identify trends, barriers, and opportunities for improvement.

• Assist Billing Specialists with complex claims, denials, payment discrepancies, eligibility issues, and account resolution.

• Ensure compliance with payer contracts, federal and state billing regulations, and company policies.

• Maintain accurate and complete billing documentation within PointClickCare (PCC).

• Collaborate with facility leadership and management teams to resolve billing issues and obtain necessary documentation.

• Verify patient and payer information and ensure billing is completed according to applicable guidelines and regulations.

• Investigate delinquent accounts and assist in developing appropriate collection and resolution strategies.

• Communicate with Medicare, Medicaid, Managed Care organizations, commercial insurers, and other third-party payers regarding outstanding claims.

• Monitor coverage effective dates, exhaustion dates, authorizations, late charges, adjustments, refunds, and other account activity.

• Assist with account reconciliations and ensure financial accuracy across assigned accounts.

• Identify billing trends, recurring denials, and process inefficiencies and work with leadership to implement corrective action.

• Support the training and development of Billing Specialists and promote consistent billing practices across the team.

• Maintain organized and thorough documentation of account activity, correspondence, adjustments, refunds, and payment follow-up.

• Provide professional and responsive customer service regarding patient and facility account inquiries.

• Promote a collaborative, accountable, and solutions-focused environment within the billing department.

Requirements

• Strong knowledge of Medicare and Medicaid billing regulations.

• Previous healthcare billing, accounts receivable, or revenue cycle experience required.

• Prior experience in a lead, senior billing, or supervisory capacity preferred.

• Long-term care, skilled nursing, or post-acute healthcare billing experience strongly preferred.

• Experience with PointClickCare (PCC) healthcare software strongly preferred.

• Strong understanding of Medicare, Medicaid, Managed Care, and third-party payer processes.

• Working knowledge of billing, collections, accounts receivable, claim follow-up, and denial resolution.

• Proficiency in Microsoft Office Suite, particularly Excel.

• Experience with account reconciliations and maintaining financial accuracy.

• Strong analytical, organizational, and problem-solving skills.

• Exceptional attention to detail with the ability to prioritize competing deadlines.

• Strong communication and interpersonal skills with the ability to collaborate effectively with facility and corporate leadership.

• Ability to lead by example and support the development and performance of team members.

Benefits

• Health Insurance

• Dental Insurance

• Vision Insurance

• Disability Insurance

• Life Insurance

• Employee Assistance Program

• 401(k)

• Paid Time Off

Additional Benefits

Telemedicine: $0 co-pay for telemedicine appointments, providing convenient access to medical consultations from the comfort of your home.

Unlimited Assistance: Receive unlimited support for legal, financial, childcare, elder care, and other services designed to support your personal and family well-being.

Mayo Clinic Programs: Access exclusive Mayo Clinic resources focused on fitness, lifestyle, mental health, nutrition, and overall wellness.

These additional benefits are available without reducing your take-home pay!