Revenue Cycle Billing Specialist - Skilled Nursing

Revenue Cycle Billing Specialist - Skilled Nursing

Location Old Bridge, NJ 8857 Date Posted September 29, 2026 Job ID 15648 Employment Type Contract To Hire Pay rate $31/hour

Scion Staffing has been engaged to conduct a search for a Revenue Cycle Billing Specialist - Skilled Nursing for an established senior care organization in Old Bridge, New Jersey. This is a full-time, contract-to-hire opportunity for an experienced healthcare billing professional with hands-on skilled nursing facility billing and collections experience.

The Revenue Cycle Billing Specialist will manage the full billing and collections cycle for skilled nursing and subacute care, including monthly billing, claims submission, collections, payment posting, remittance review, denial follow-up, rebilling, and appeals. This position will work across Medicare, Medicaid, commercial insurance, and private pay accounts while also providing guidance and oversight to a small team.

PERKS:

• $30.00-$31.00 per hour

• Contract-to-hire opportunity with long-term potential

• Monday-Friday daytime schedule

• Opportunity to take ownership of skilled nursing billing and collections

• Collaborative, team-oriented work environment

RESPONSIBILITIES:

• Manage monthly billing and collections for skilled nursing and subacute care, including preparing and submitting claims across Medicare, Medicaid, commercial insurance, and private pay accounts.

• Follow up on unpaid and denied claims, research discrepancies, and submit corrected claims, rebills, and appeals through resolution.

• Post payments, revenue, adjustments, and cash receipts accurately while reviewing remittances and maintaining accurate accounts receivable records.

• Maintain resident billing information and required payer documentation, including Medicare and Medicaid information, and respond to account balance inquiries from residents and families.

• Monitor outstanding accounts and credit balances and complete required billing reports, documentation, and payer-related paperwork.

• Provide day-to-day guidance and oversight to 1-2 team members while partnering closely with the Business Office Manager and broader finance team.

QUALIFICATIONS:

• 2+ years of billing and collections experience within a skilled nursing facility is required.

• Hands-on experience with both billing claims and collecting unpaid claims, including denial follow-up, rebilling, and appeals.

• Strong knowledge of Medicare billing is required, along with experience working with Medicaid, commercial insurance, and private pay accounts.

• Experience posting payments and adjustments, reviewing remittances, and maintaining accurate accounts receivable records.

• Previous supervisory, lead, or team oversight experience; MatrixCare and/or SigmaCare experience is preferred.

LOCATION & SCHEDULE:

This position is fully onsite in Old Bridge, NJ 08857. The schedule is Monday through Friday, approximately 8:00 AM-4:00/4:30 PM.

This position works within a collaborative, multi-person office and interacts regularly with residents and their families. The ideal candidate will bring strong customer service skills, patience, professionalism, and the ability to work effectively as part of a team.

COMPENSATION:

This is a full-time, contract-to-hire opportunity The position offers $30.00-$31.25 per hour.

HOW TO APPLY:

For immediate consideration, please submit your resume today!

ABOUT OUR SEARCH FIRM:

Scion Staffing is an award-winning national recruitment and staffing specialist! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with incredible organizations and career opportunities. Through our innovative team building and recruiting solutions, we bridge the gap in executive leadership searches, direct hire recruiting, interim leadership placement, and temporary professional staffing.

We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm and our practices can be found online.

Scion Staffing is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent.

For opportunities located in a region that has enacted fair chance, arrest, or conviction-based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.