We are seeking an experienced MCO Billing Manager to oversee billing and collections operations across multiple Skilled Nursing Facilities (SNFs). This role is responsible for managing reimbursement processes related to Managed Care Part B, Commercial insurance, Managed Medicaid, Medicare Advantage, and coinsurance billing.
The ideal candidate will have strong SNF billing experience, leadership capabilities, and a deep understanding of managed care reimbursement processes. Responsibilities
Oversee billing and collections for Managed Care Part B, Commercial, Managed Medicaid, Medicare Advantage, and coinsurance accounts
Manage billing operations across multiple SNF locations
Monitor AR performance and ensure timely follow-up on outstanding claims
Resolve billing discrepancies, denials, and reimbursement issues
Collaborate with internal teams and insurance payers to improve collections and cash flow
Ensure compliance with payer guidelines and regulatory requirements
Analyze billing trends and identify opportunities for process improvement
