Payer Tracker AR Specialist Long Term Care

Job Description

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,

• 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

• 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 escalate issues when necessary

• Follow claims through final resolution and payment

• 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

• 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

• 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

• 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