Corporate Billing Specialist

Ryders Health Management; Johnsons Corner (CT); Presencial; USD 48 000 - 64 000; Tempo integral

Resumo da oferta

Ryders Health Management is seeking a Corporate Billing Specialist to support skilled nursing facilities with Medicare, Medicaid and managed care claims. This in-person role requires PCC experience and the ability to manage multiple facilities and priorities with strong follow-up and communication skills.

The position focuses on end-to-end billing, patient balances, denials management, and payer reconciliations within a multi-facility SNF portfolio.

Qualificações

• Minimum 2 years of Skilled Nursing Facility billing experience.
• Experience with Medicare, Managed Care, Medicare coinsurance and Medicaid billing and collections.
• Experience with PCC (PointClickCare) required.
• Inovalon experience preferred.
• Strong ability to manage multiple facilities and priorities.
• Excellent communication, organizational and follow-up skills.

Responsabilidades

• Prepare, submit, and manage Medicare, Managed Care and Medicaid claims for Skilled Nursing Facilities (SNFs).
• Manage coinsurance billing and follow-up, including coordination of balances due from residents and other responsible payers, as applicable.
• Follow up on unpaid claims, denials, underpayments, and authorization issues.
• Work aging reports and maintain timely follow-up documentation.
• Coordinate with facility Business Office Managers (BOMs), therapy, MDS, and centralized billing teams.
• Identify billing trends and elevate reimbursement concerns appropriately.
• Assist with payer reconciliations and revenue cycle cleanup projects.
• Maintain compliance with payer guidelines and company process.

Conhecimentos

SNF billing experience

Medicare/Medicaid billing

Accounts receivable

PointClickCare (PCC)

Inovalon

Ferramentas

PointClickCare (PCC)

Descrição da oferta de emprego

Corporate Billing Specialist – Skilled Nursing / Long-Term Care

A long-term care organization is seeking an experienced Corporate Billing Specialist to support skilled nursing facilities with claim submission, billing, collections, account follow-up, and reimbursement management across multiple payer types.

This is an in-person position supporting a multi-facility skilled nursing portfolio. The ideal candidate will have strong SNF revenue cycle experience, a working knowledge of Medicare, Managed Care and Medicaid billing, and the ability to work independently in a fast-paced environment.

Responsibilities

• Prepare, submit, and manage Medicare, Managed Care and Medicaid claims for Skilled Nursing Facilities (SNFs),
• Manage coinsurance billing and follow-up, including coordination of balances due from residents and other responsible payers, as applicable
• Follow up on unpaid claims, denials, underpayments, and authorization issues
• Work aging reports and maintain timely follow-up documentation
• Coordinate with facility Business Office Managers (BOMs), therapy, MDS, and centralized billing teams
• Identify billing trends and elevate reimbursement concerns appropriately
• Assist with payer reconciliations and revenue cycle cleanup projects
• Maintain compliance with payer guidelines and company process

Qualifications

• Minimum 2 years of Skilled Nursing Facility (SNF) billing experience required
• Medicare, Managed Care, Medicare coinsurance, and/or Medicaid billing and collections experience strongly preferred
• Experience with PointClickCare (PCC) required
• Experience with Inovalon preferred
• Strong understanding of SNF claims, eligibility verification, authorizations, accounts receivable, and payment reconciliation
• Ability to manage multiple facilities and priorities simultaneously
• Strong communication, organizational, and follow-up skills

Position Details

• In-person position
• Full-time position
• Competitive compensation based on experience