SNF Medical Biller

Harborview Health Systems; Blackshear (GA); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

401(k) plan

DailyPay

Health Insurance

Job summary

Harborview Health Systems in Blackshear, GA seeks an AR Executive (SNF Medical Biller) to lead Medicare and managed care billing for multiple skilled nursing facilities. You will follow up denials, verify reimbursements, and ensure accurate payer allocations.

A strong emphasis on process improvement and cross-team collaboration is expected. You will work with Revenue Operations leadership to monitor performance, meet monthly targets, and stay compliant with payer regulations.

Qualifications

• 5+ years of experience in healthcare receivables, billing, or insurance claims processing.
• Prior SNF billing experience preferred.
• In-depth understanding of Medicare A/B, Managed Care, Medicaid, and commercial payer guidelines.
• Familiarity with PCC, Ability Network, and payer portal systems.
• Strong knowledge of federal and state billing compliance regulations.
• Excellent written, verbal, and interpersonal communication skills.
• Proficient in Excel and other data analysis/reporting tools.

Responsibilities

• Accurately bill Medicare and Managed Care claims (UB-04s) for 2–3 skilled nursing facilities on a monthly basis.
• Conduct follow-up on denied or underpaid claims, post contractual adjustments, and shift co-insurance to the correct payer buckets.
• Review remittance advices to verify accurate reimbursement per payer contracts.
• Participate in the Triple Check process and coordinate with facility staff for clean claim submission.
• Analyze aging reports and meet monthly with the VP of Revenue to identify trends and opportunities for collections improvement.
• Collaborate with Business Office Managers, MDS Coordinators, and Regional AR Directors to resolve billing issues.
• Serve as a subject matter expert on payor portals, PCC, Ability Network, and managed care contracts.
• Partner with IT vendors and payors to ensure billing system functionality and data accuracy.
• Monitor departmental performance, establish productivity goals, and provide reporting to Revenue Operations leadership.
• Ensure compliance with all federal, state, and payer-specific billing regulations.
• Participate in AR strategy meetings and support workflow alignment across regions.
• Proactively manage and resolve medical denials, analyze root causes, and implement process improvements.
• Support team cohesion and knowledge sharing by encouraging open communication and active collaboration.

Skills

Medicare billing

SNF billing

Accounts receivable

Payer portals

Excel

Education

Associate degree in Business/Healthcare Administration/Finance

Job description

AR Executive (SNF Medical Biller)

Pay From: Based on experience

Top Pay and Benefits!

Who we are
As a faith-based organization, our mission is simple but powerful: to care for the caregiver so they can in turn care for our residents.

We offer top pay and benefits in a positive work environment.

The Opportunity
We are seeking a detail-oriented and experiencedAR Executive (SNF Medical Biller)

What You Will Do

• Accurately bill Medicare and Managed Care claims (UB-04s) for 2–3 skilled nursing facilities on a monthly basis
• Conduct follow-up on denied or underpaid claims, post contractual adjustments, and shift co-insurance to the correct payer buckets
• Review remittance advices to verify accurate reimbursement per payer contracts
• Participate in the Triple Check process and coordinate with facility staff for clean claim submission
• Analyze aging reports and meet monthly with the VP of Revenue to identify trends and opportunities for collections improvement
• Collaborate with Business Office Managers, MDS Coordinators, and Regional AR Directors to resolve billing issues
• Serve as a subject matter expert on payor portals, PCC, Ability Network, and managed care contracts
• Partner with IT vendors and payors to ensure billing system functionality and data accuracy
• Monitor departmental performance, establish productivity goals, and provide reporting to Revenue Operations leadership
• Ensure compliance with all federal, state, and payer-specific billing regulations
• Participate in AR strategy meetings and support workflow alignment across regions
• Proactively manage and resolve medical denials, analyze root causes, and implement process improvements
• Support team cohesion and knowledge sharing by encouraging open communication and active collaboration
• Perform other duties and projects as assigned by leadership

What You Must Have

• Associate degree in Business, Healthcare Administration, or Finance preferred (experience considered in lieu of degree)
• Minimum of 5 years of experience in healthcare receivables, billing, or insurance claims processing
• Prior experience in skilled nursing facility (SNF) billing strongly preferred
• In-depth understanding of Medicare A/B, Managed Care, Medicaid, and commercial payer guidelines
• Familiarity with PCC, Ability Network, and payer portal systems
• Strong knowledge of federal and state billing compliance regulations
• Excellent written, verbal, and interpersonal communication skills
• Proficient in Excel and other data analysis/reporting tools
• Strong organizational skills and ability to manage multiple tasks in a fast-paced environment
• Demonstrated leadership and problem-solving capabilities

Benefits - Things we want you to know

• We offer a comprehensive benefits package, including:
  • 401(k) managed by Merrill Lynch
  • DailyPay
  • Health Insurance with Anthem Blue Cross or Cigna