Managed Care Biller Location: Charleston, Illinois - On-Site (NOT A REMOTE POSITION) PLEASE READ BEFORE APPLYING: Skilled Nursing Facility Experience REQUIRED- This position REQUIRES prior billing, accounts receivable, or payer follow-up experience in Skilled Nursing Facility (SNF) or Long Term Care (LTC) environment. Candidates whose billing is limited to hospitals, physician practices, outpatient clinics, dental offices or NON- SNF facilities, WILL NOT meet the requirements for this position. Reports To: Billing Director About the Opportunity The Managed Care Biller is responsible for the accurate and timely billing of all managed care and commercial insurance claims within a skilled nursing environment. This role requires a strong understanding of payer contracts, authorizations, and billing nuances unique to managed care. Key Responsibilities Managed Care Billing Prepare and submit managed care and commercial insurance claims accurately and on time Ensure all claims meet payer-specific requirements and contract terms Track billing cycles and ensure deadlines are consistently met Authorizations & Documentation Verify authorizations and ensure services billed align with approved coverage Work closely with facility teams to obtain required documentation Ensure accuracy of patient information, payer details, and billing codes Denials & Follow-Up Investigate and resolve denied or rejected claims Correct and resubmit claims promptly Coordinate with AR team to ensure timely collections Payer Communication Communicate with managed care payers regarding claim status, discrepancies, and payment delays Understand and apply payer contracts, rates, and billing requirements Systems Utilize PointClickCare (PCC) for billing and claim tracking Maintain accurate and organized billing records Qualifications MUST have SNF billing experience (managed care focus strongly preferred) 2-4+ years of managed care or commercial billing experience in healthcare Strong understanding of payer contracts, authorizations, and billing requirements Experience with PointClickCare (PCC) required Strong attention to detail and follow-through Ability to manage multiple payers and deadlines simultaneously #J-18808-Ljbffr