SNF Tracking Manager

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

This is a full-time, exempt position reporting to our Accounts Receivable Director.

What You Will Do
• 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.

What it Takes to Join the Family
• 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.

Why Assembly?
• Be part of something special! We are growing both organically and through acquisitions.
• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
• Ongoing training and development programs
• An environment that values transparency
• Virtual and in-person events to connect with your team.
• Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.

Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.

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