Strategic SNF Managed Care Billing Specialist

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

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k) retirement plan

Paid Time Off (PTO)

Employee Assistance Program (EAP)

Job summary

Ryders Health Management, Inc is looking for a Corporate Managed Care Specialist in Stratford, CT. The role involves managing claims and reimbursement for skilled nursing facilities, ensuring compliance with payer guidelines. Candidates should have at least 2 years of experience in SNF billing and a strong understanding of Medicare and managed care. Proficiency in PointClickCare is required. A comprehensive benefits package is offered including medical insurance, 401(k), and paid time off.

Qualifications

• Minimum 2+ years of experience in Skilled Nursing Facility billing.
• Strong knowledge of Medicare Advantage and commercial insurance payers.
• Experience in handling billing trends and reimbursement processes.

Responsibilities

• Manage and submit Managed Care claims for Skilled Nursing Facilities.
• Follow up on unpaid claims and authorization issues.
• Coordinate with various facility departments for accurate billing.

Skills

Managed Care billing

Skilled Nursing Facility (SNF) billing

Microsoft Office proficiency

Communication skills

Organizational skills

Problem-solving skills

Tools

PointClickCare (PCC)

Inovalon

Job description

Ryders Health Management, Inc is looking for a Corporate Managed Care Specialist in Stratford, CT. The role involves managing claims and reimbursement for skilled nursing facilities, ensuring compliance with payer guidelines. Candidates should have at least 2 years of experience in SNF billing and a strong understanding of Medicare and managed care. Proficiency in PointClickCare is required. A comprehensive benefits package is offered including medical insurance, 401(k), and paid time off.