Managed Care Biller

Vierra Communities • Falls Church, VA

5d • $25 - $31 • Onsite

About The Position

Vierra Communities is seeking a motivated, reliable Managed Care Biller with a strong work ethic to join their team. This role is crucial in providing residents and patients with compassion and excellent care within their family-owned facilities, which offer a unique health and rehabilitation experience. The company boasts a positive, supportive, and thriving culture that encourages innovation, leadership, warmth, compassion, and excellence, with a mission to advance and redefine healthcare.

Requirements

• Minimum 3+ years of Skilled Nursing Facility (SNF) billing experience required
• Experience with PointClickCare (PCC) required
• 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.

Nice To Haves

• Managed Care billing and collections experience strongly preferred
• Medicare & Medicaid billing experience preferred
• Knowledge of Medicare Advantage and commercial insurance payers
• Experience with Waystar preferred

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

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)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed