Managed Care Biller

Job Description

Job Description

Position: Managed Care Biller – Skilled Nursing Facility

Are you looking to put your skills and the compassion you have for people to work with an employer that values you and the work you do? If so, Vierra Communities is looking for you. If you are motivated, reliable and have a strong work ethic, we invite you to join our amazing team in providing our residents and patients with compassion and excellent care. We offer extremely generous and competitive pay and benefits and a positive work environment with a team that is committed to growth and providing excellent care.

Overview:

Vierra facilites are family-owned and provide a truly unique health & rehabilitation experience. We have a close-knit staff that will do anything to create the best community and experience for our residents.

Vierra's Culture & Mission:

We have a positive, supportive and thriving culture that supports and encourages innovation, leadership, warmth and compassion and excellence. Our Mission: to advance and redefine healthcare.

Full-time Benefits:

• 7 Paid Major Holidays
• Generous PTO
• Medical, Dental and Vision
• Company Paid Life & AD&D Insurance & LTD
• Voluntary Life Insurance
• 401(k) immediate enrollment with match
• Tuition Reimbursement (up to $2,500 annually)
• Referral Bonus Program (up to $1,000)

Required Qualifications

• Minimum 3+ years of Skilled Nursing Facility (SNF) billing experience required
• Managed Care billing and collections experience strongly preferred
• Medicare & Medicaid billing experience preferred
• Knowledge of Medicare Advantage and commercial insurance payers
• Experience with PointClickCare (PCC) required
• Experience with Waystar preferred
• Strong understanding of SNF claims, authorizations, eligibility verification, and collections workflows
• Ability to manage multiple facilities and competing priorities simultaneously
• Strong communication, organizational, and problem-solving skills
• Proficiency with Microsoft Office (Word, Excel, Outlook) and healthcare billing systems
• Must be able to read, write, and communicate effectively in English.

Major Duties and Responsibilities

• Submit and manage claims for Skilled Nursing Facilities (SNFs)
• Follow up on unpaid claims, denials, underpayments, and authorization issues
• Review eligibility, authorization status, and payer requirements to ensure accurate billing and reimbursement
• Work aging reports and maintain timely and accurate follow-up documentation
• Coordinate with facility Business Office Managers (BOMs), therapy departments, MDS teams, and centralized billing teams
• Identify billing trends and escalate reimbursement concerns appropriately
• Assist with payer reconciliations and revenue cycle cleanup projects
• Maintain compliance with payer guidelines, billing regulations, and company processes
• Support revenue cycle improvement initiatives and assist with resolving complex reimbursement issues
• Provide regular updates regarding claims status, collections activity, and reimbursement trends

Vierra Communities provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements Vierra Communities complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.