SNF Tracking Manager

Job not on LinkedIn

November 5

🏖️ New Jersey – Remote

Although this job is listed in New Jersey, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Assembly Health

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Healthcare Insurance • Finance • SaaS

Assembly Health is dedicated to elevating financial performance for healthcare providers through innovative revenue cycle management and back-office solutions. Their expert team and technology optimize processes, allowing healthcare organizations to focus on delivering quality patient care. With a comprehensive approach that includes analytics, compliance consulting, and staffing services, Assembly Health serves a wide array of physician specialties and long-term care communities across the United States.

201 - 500 employees

⚕️ Healthcare Insurance

💸 Finance

☁️ SaaS

📋 Description

• Manage the tracking and monitoring of all claims from submission to resolution for a portfolio of SNF facilities. • Ensure that claims to Medicare, Medicaid, and private insurers are accurately submitted, tracked, and followed up on in a timely manner. • Oversee the monitoring of accounts receivable (AR) and ensure proper tracking of unpaid claims, payment statuses, and outstanding balances. • Implement systems and processes to track the life cycle of claims and minimize billing errors and payment delays. • Work to proactively resolve issues before they escalate, providing clients with clear communication on their billing status. • Track and analyze denied claims, working with billing, clinical, and administrative teams to identify root causes and implement corrective actions. • Manage the timely resubmission of corrected claims and appeals to third-party payers, ensuring resolution of denial issues. • Work closely with clients to address any documentation or coding errors that contribute to claim denials. • Develop and refine workflows for tracking denials and appeals to ensure consistent follow-up and maximum reimbursement. • Ensure compliance with third-party billing and regulatory requirements, including Medicare and Medicaid guidelines, HIPAA regulations, and other payer-specific policies. • Track regulatory deadlines and ensure SNF clients are aware of any changes in reimbursement models, billing practices, or compliance requirements. • Lead a team of tracking specialists and coordinators who focus on third-party billing performance for multiple SNF clients. • Provide training and development opportunities to team members to enhance their knowledge of third-party billing, claims management, and regulatory compliance. • Set performance goals for the team, monitor key metrics such as days in AR, claim resolution times, and denial rates. • Foster a collaborative and results-driven team environment, ensuring high levels of performance and accountability. • Communicate regularly with clients to ensure they are aware of their third-party billing performance and to address any concerns or issues. • Provide reporting to clients that highlights key metrics such as claim approval rates, outstanding balances, and overall third-party payer performance. • Develop and maintain reports and dashboards that track third-party claims performance across the portfolio of SNF clients. • Monitor key performance indicators (KPIs) such as days in AR, collection rates, and denial trends to identify opportunities for improvement. • Provide regular updates and recommendations to senior leadership on third-party billing performance, reimbursement trends, and areas for process improvement. • Work with the finance and revenue cycle teams to ensure alignment of third-party billing efforts with overall financial objectives. • Other tasks and projects as needed and assigned.

🎯 Requirements

• Minimum of 5-7 years of experience in third-party billing, revenue cycle management, or a similar role in healthcare, with a focus on skilled nursing facilities or long-term care settings. • Proven experience in managing teams and overseeing third-party payer operations, particularly Medicare and Medicaid. • Excellent leadership and team management skills. • Strong analytical skills, with the ability to identify trends and develop solutions to improve billing performance. • Proficiency with billing software systems and electronic health records (EHR). • Strong communication skills, with the ability to interact effectively with clients and internal teams. • Demonstrated ability to adapt to evolving industry trends and regulations and implement necessary changes to maintain compliance. • Ability to function well in a fast-paced and at times stressful environment. • Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

🏖️ Benefits

• Competitive Benefit Packages available • Paid Holidays • Paid Time Off to enjoy your time away from the office.