Billing Transition & Education Leader

Northern NJ (Bergen & Passaic Counties) and/or NY (Rockland, Westchester, Orange Counties)

Salary: $150,000 – $200,000

Our client is a rapidly growing healthcare organization seeking an experienced Billing Transition & Education Manager to oversee billing integration for newly acquired Skilled Nursing Facilities. In this high-impact role, you will lead a specialized team through all phases of revenue cycle setup, compliance, and training for Medicare, Medicaid, HMO, and other payer types.

Key Responsibilities:

• Lead a transition billing team during acquisitions and mergers, ensuring timely and accurate billing.

• Research, implement, and train staff on billing regulations across multiple states and payors.

• Set up payer trees, revenue codes, CPT codes, modifiers, contracts, and rates in the EMR.

• Establish insurance portals, clearinghouses, and billing access for onboarding facilities.

• Resolve payer issues, reduce denials/rejections, and manage appeals.

• Optimize billing processes for efficiency and compliance.

• Advise leadership on staffing, workflows, and operational improvements.

Qualifications:

• Skilled Nursing Facility billing expertise (Medicare, Medicaid, HMO, etc.).

• Proficiency in PointClickCare (PCC), clearinghouses, and healthcare billing systems.

• Experience with RUGs, PDPM, and PPS systems.

• Strong leadership skills with the ability to work in fast-paced transitions.

• Ability to research and implement billing regulations across new healthcare markets.