Payer Tracker AR Specialist Long Term Care

Healthcare Nursing Center; Charleston (IL); On-site; USD 52,000 - 65,000; Full time

Job summary

Healthcare Nursing Center is seeking an experienced SNF Accounts Receivable Specialist/Payer Tracker to manage payer follow-up across skilled nursing facilities. The role demands hands-on SNF AR, denials handling, and strong payer communication to ensure timely reimbursements.

Ideal candidates understand the SNF revenue cycle, with 2+ years in healthcare AR and experience resolving denied or underpaid claims within LTC environments.

Qualifications

• Prior SNF or Long-Term Care billing/AR experience required.
• 2+ years of healthcare AR, billing, collections, or payer follow-up experience.
• Hands-on SNF accounts receivable experience with outstanding claims.
• Experience communicating with insurance payers regarding claim status and payment.
• Experience resolving denials, rejected claims, and underpayments.
• Knowledge of Medicare/Medicaid, managed care and/or commercial insurance within SNF/LTC.

Responsibilities

• Monitor and manage AR aging across skilled nursing facilities.
• Work outstanding accounts and claims to resolution.
• Conduct daily payer follow-up to reduce outstanding AR.
• Identify unpaid and underpaid claims and take action.
• Work to reduce AR days and improve cash collections.
• Communicate with Medicare, Medicaid, managed care, and commercial payers.
• Research claim status and resolve payer discrepancies.
• Follow claims through final resolution and payment.
• Investigate denied and rejected SNF claims and assist with resubmission.
• Maintain detailed documentation of payer communication and claim status.

Skills

SNF billing experience

Payer follow-up

Healthcare AR

Communication with payers

Tools

PointClickCare (PCC)

Job description

Location: Charleston, Illinois — On-Site (NOT A REMOTE POSITION)

PLEASE READ BEFORE APPLYING: Skilled Nursing Facility Experience REQUIRED- This position REQUIRES prior billing, accounts receivable, or payer follow-up experience in Skilled Nursing Facility (SNF) or Long Term Care (LTC) environment. Candidates whose billing is limited to hospitals, physician practices, outpatient clinics, dental offices or NON- SNF facilities, WILL NOT meet the requirements for this position.

About the Opportunity

We are seeking an experienced SNF Accounts Receivable Specialist/Payer Tracker to manage outstanding accounts and payer follow-up across skilled nursing facilities.

The ideal candidate needs to understand the SNF revenue cycle and has hands-on experience working outside claims, AR aging, denials, payer follow up, and collecting within the long term care industry,

Key Responsibilities

• Monitor and manage AR aging across skilled nursing facilities
• Work outstanding accounts and claims to resolution
• Conduct daily payer follow-up to reduce outstanding AR
• Identify unpaid and underpaid claims and take appropriate action
• Work to reduce AR days and improve cash collections

Payer Follow-Up

• Communicate directly with Medicare, Medicaid, managed care, and commercial payers
• Research claim status and identify reasons for delayed or missing payments
• Resolve payer discrepancies and escape issues when necessary
• Follow claims through final resolution and payment

Denials & Collections

• Investigate denied and rejected SNF claims
• Correct and resubmit claims when appropriate
• Assist with appeals and payer-specific documentation requirements
• Ensure appropriate reimbursement is received

Tracking & Reporting

• Maintain detailed documentation of payer communication and claim status
• Monitor aging and outstanding balances
• Identify recurring denial or payment trends
• Report significant payer and collection issues to the Billing Director

Required Qualifications

• Prior SNF or Long-Term Care billing/AR experience REQUIRED
• 2+ years of healthcare AR, billing, collections, or payer follow-up experience
• Hands-on experience working SNF accounts receivable and outstanding claims
• Experience communicating directly with insurance payers regarding claim status and payment
• Experience resolving denials, rejected claims, unpaid claims, and underpayments
• Working knowledge of Medicare, Medicaid, managed care/Medicare Advantage, and/or commercial insurance within a SNF/LTC setting
• Strong follow-up, organizational, and documentation skills

Preferred Qualifications

• PointClickCare (PCC) experience
• Experience managing AR for multiple skilled nursing facilities
• Experience with managed care and Medicare Advantage payer follow-up
• Experience working aging reports and meeting collection targets

Please note: This is an on-site position in Charleston, Illinois and requires previous Skilled Nursing Facility (SNF) or Long-Term Care (LTC) revenue-cycle experience.