Campbell Hall is a skilled nursing facility in Campbell Hall, NY, committed to delivering compassionate care to our residents. We're looking for a detail-oriented Fiscal Office / Medical Biller to join our Finance team on a full-time, on-site basis. If you have a knack for accuracy, understand healthcare billing workflows, and want meaningful work in a supportive environment, we'd like to hear from you.

As our Fiscal Office / Medical Biller, you'll be the backbone of our revenue cycle—ensuring that claims are submitted correctly, timely, and completely so our facility can continue to provide excellent resident care. You'll work closely with nursing, clinical, and administrative staff to gather documentation, resolve billing issues, and maintain compliance with Medicare, Medicaid, and private insurance requirements. Your work directly supports our mission and keeps operations running smoothly.

What you'll do

Review patient charts, admission paperwork, and clinical documentation to identify billable services and verify coding accuracy
Prepare and submit claims to Medicare, Medicaid, and private insurers, ensuring all required fields and supporting documents are included
Follow up on claim denials and rejections, communicate with insurance companies, and resubmit corrected claims promptly
Reconcile patient accounts, post payments, and adjust billing records as needed
Maintain detailed records of all billing activity and prepare reports for management and auditing purposes
Respond to inquiries from residents, families, and insurance representatives regarding billing and payment status
Stay current with changes to Medicare, Medicaid, and insurance billing rules and communicate updates to the clinical team
Work with nursing and therapy staff to ensure complete and timely documentation that supports accurate billing

What you'll bring

Strong attention to detail and commitment to accuracy in a high-volume environment
Solid understanding of healthcare billing, insurance processes, and compliance requirements
Excellent organizational and time-management skills to prioritize multiple claims and follow-ups
Clear communication and problem-solving ability to work across departments and with external partners
Proficiency with billing software, electronic health records (EHR), and standard office systems
Integrity and discretion when handling sensitive financial and patient information

Why join us

Competitive salary of $55,000–$65,000 per year, commensurate with experience
Full-time, on-site position with stable, predictable hours in a professional office setting
Opportunity to grow your expertise in skilled nursing facility billing and healthcare finance
Supportive team that values accuracy, collaboration, and continuous improvement
Meaningful work that directly impacts our ability to care for our residents
Professional development and training in billing compliance and evolving regulations

Requirements

High school diploma or GED required; Associate's degree or higher in accounting, healthcare administration, or related field preferred
Minimum 2 years of experience in healthcare billing, medical coding, accounts receivable, or similar finance role in a clinical setting
Working knowledge of Medicare and Medicaid billing rules, insurance claim processes, and healthcare compliance
Proficiency with billing software, EHR systems, and Microsoft Office (Word, Excel, Outlook)
Strong written and verbal communication skills; ability to explain billing issues clearly to clinical and administrative staff
Demonstrated ability to manage multiple priorities, meet deadlines, and work independently
Ability to maintain confidentiality and handle sensitive financial and patient information in compliance with HIPAA
Reliable transportation and ability to work full-time, on-site at Campbell Hall, NY
Background check required per facility policy
TB/PPD and vaccination status per facility health policy