Managed Care Accounts Receivable Specialist (SNF)

Ryders Health Management; Stratford (CT); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health insurance

Retirement plan with employer match

Life insurance

Disability benefits

Paid meal breaks

PTO

Holidays

Overtime pay

EAP

Employee discounts

Training & orientation

Uniform allowance

Longevity awards

Job summary

Ryders Health Management in Connecticut is seeking a Corporate Managed Care Specialist to support our skilled nursing facilities with managed care billing, collections, authorizations, and reimbursement processes across a multi-facility portfolio.

This role plays a critical part in optimizing revenue cycle, collaborating with facility BOMs, therapy, MDS, and centralized billing teams to ensure timely reimbursement.

Qualifications

• Minimum 2+ years of SNF billing experience.
• Experience with managed care billing and collections is strongly preferred.
• Knowledge of Medicare Advantage and commercial payers.
• Proficiency with PointClickCare (PCC) required.
• Experience with Inovalon preferred.
• Understanding SNF claims, authorizations, eligibility verification, and collections workflows.
• Ability to manage multiple facilities and competing priorities.
• Strong communication and problem-solving skills.
• Proficiency with Microsoft Office and healthcare billing systems.
• English reading and writing communication required.

Responsibilities

• Submit and manage Managed Care claims for Skilled Nursing Facilities (SNFs).
• Follow up on unpaid claims, denials, underpayments, and authorization issues.
• Review eligibility, authorization status, and payer requirements to ensure accurate billing and reimbursement.
• Work aging reports and maintain timely and accurate follow-up documentation.
• Coordinate with facility Business Office Managers (BOMs), therapy departments, MDS teams, 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, billing regulations, and company processes.
• Support revenue cycle improvement initiatives and assist with resolving complex reimbursement issues.
• Provide regular updates regarding claims status, collections activity, and reimbursement trends.

Skills

Skilled Nursing Facility billing

Managed Care billing

Payer communications

PCC (PointClickCare)

Inovalon

SNF claims & authorizations

Multiple facility management

Communication & organization

MS Office (Word/Excel/Outlook)

English proficiency

Tools

PointClickCare (PCC)

Inovalon

Job description

• Medical, Dental, and Vision Insurance (for employee ± dependents)
• 401(k) retirement plan (with employer match or contribution)
• Employer-Paid Life Insurance
• Short- and Long-Term Disability (as applicable)
• Paid Meal Period
• 8 Paid Holidays
• Holiday and Overtime Pay (as per facility policy)
• Employee Assistance Program (EAP)
• Employee Discounts
• Paid Training and Orientation
• Longevity Awards

LOCATION

Stratford, CT

POSITION TYPE

Full-Time, 40-hours

SHIFT(S)

40-hours per week, days, M-F

PAY RANGE

$70,000 - $100,000

BENEFITS – Full-Time

• Medical, Dental, and Vision Insurance (for employee ± dependents)
• 401(k) retirement plan (with employer match or contribution)
• Employer-Paid Life Insurance
• Short- and Long-Term Disability (as applicable)
• Paid Meal Period
• Paid Time Off (PTO) — vacation, personal days, sick time
• 8 Paid Holidays
• Holiday and Overtime Pay (as per facility policy)
• Employee Assistance Program (EAP)
• Employee Discounts
• Paid Training and Orientation
• Uniform Allowance
• Longevity Awards

JOB SUMMARY

Are you an experienced Managed Care and Skilled Nursing billing professional with a strong understanding of revenue cycle operations and reimbursement management? We are seeking a Corporate Managed Care Specialist to support our skilled nursing facilities with managed care billing, collections, authorization follow-up, and reimbursement processes across a multi-facility portfolio.

This role plays a critical part in supporting financial performance and ensuring timely reimbursement by managing payer relationships, resolving claims issues, and collaborating closely with facility and corporate teams. The ideal candidate will thrive in a fast-paced healthcare environment and demonstrate strong organizational, analytical, and follow-up skills.

RESPONSIBILITIES

• Submit and manage Managed Care claims for Skilled Nursing Facilities (SNFs)
• Follow up on unpaid claims, denials, underpayments, and authorization issues
• Review eligibility, authorization status, and payer requirements to ensure accurate billing and reimbursement
• Work aging reports and maintain timely and accurate follow-up documentation
• Coordinate with facility Business Office Managers (BOMs), therapy departments, MDS teams, 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, billing regulations, and company processes
• Support revenue cycle improvement initiatives and assist with resolving complex reimbursement issues
• Provide regular updates regarding claims status, collections activity, and reimbursement trends

QUALIFICATIONS

• Minimum 2+ years of Skilled Nursing Facility (SNF) billing experience required
• Managed Care billing and collections experience strongly preferred
• Knowledge of Medicare Advantage and commercial insurance payers
• Experience with PointClickCare (PCC) required
• Experience with Inovalon preferred
• Strong understanding of SNF claims, authorizations, eligibility verification, and collections workflows
• Ability to manage multiple facilities and competing priorities simultaneously
• Strong communication, organizational, and problem-solving skills
• Proficiency with Microsoft Office (Word, Excel, Outlook) and healthcare billing systems
• Must be able to read, write, and communicate effectively in English.

PREFERRED QUALIFICATIONS

• Experience supporting multi-facility skilled nursing or long-term care operations
• Knowledge of managed care reimbursement trends and payer regulations
• Experience with revenue cycle reporting and reconciliation processes

ABOUT US

Ryders Health Management is a family-owned management company overseeing Skilled Nursing & Rehabilitation Centers. Across all our centers, we provide exceptional, patient-centered care designed to support each resident’s individual recovery or long-term care needs. Our commitment to our staff is as strong as our commitment to our residents. We offer a supportive work environment and opportunities for growth and development.

OUR CARING COMMUNITY

We are a family-owned, long-term care company located in Connecticut. As part of the Ryders Health family, you’ll join a team backed by over 75 years of experience — rooted in quality care, teamwork, and staffing ratios that exceed industry standards.

Come join our compassionate, dedicated team of professionals!

EQUAL OPPORTUNITY EMPLOYER STATEMENT

We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law.