Corporate Managed Care Specialist

Corporate Managed Care Specialist Ryders Health Management

• 3.1 Stratford, CT Job Details Full-time $70,000
• $100,000 a year 5 hours ago Benefits Paid training Paid holidays Disability insurance Health insurance Dental insurance 401(k) Paid time off Uniform allowance Employee assistance program Vision insurance 401(k) matching Employee discount Paid orientation Life insurance Qualifications Skilled nursing facility experience Long term care experience English PointClickCare Full Job Description

LOCATION

Stratford, CT

POSITION TYPE

Full-Time, 40-hours SHIFT(S): 40-hours per week, days, M-F

PAY RANGE

$70,000

• $100,000 BENEFITS

• Full-Time:

  Medical, Dental, and Vision Insurance (for employee ± dependents) 401(k) retirement plan (with employer match or contribution) Employer-Paid Life Insurance Short
• and Long-Term Disability (as applicable) Paid Meal Period Paid Time Off (PTO) — vacation, personal days, sick time 8 Paid Holidays Holiday and Overtime Pay (as per facility policy) Employee Assistance Program (EAP) Employee Discounts Paid Training and Orientation Uniform Allowance Longevity Awards

JOB SUMMARY

Are you an experienced Managed Care and Skilled Nursing billing professional with a strong understanding of revenue cycle operations and reimbursement management? We are seeking a Corporate Managed Care Specialist to support our skilled nursing facilities with managed care billing, collections, authorization follow-up, and reimbursement processes across a multi-facility portfolio. This role plays a critical part in supporting financial performance and ensuring timely reimbursement by managing payer relationships, resolving claims issues, and collaborating closely with facility and corporate teams. The ideal candidate will thrive in a fast-paced healthcare environment and demonstrate strong organizational, analytical, and follow-up skills.

RESPONSIBILITIES

Submit and manage Managed Care claims for Skilled Nursing Facilities (SNFs) Follow up on unpaid claims, denials, underpayments, and authorization issues Review eligibility, authorization status, and payer requirements to ensure accurate billing and reimbursement Work aging reports and maintain timely and accurate follow-up documentation Coordinate with facility Business Office Managers (BOMs), therapy departments, MDS teams, and centralized billing teams Identify billing trends and escalate reimbursement concerns appropriately Assist with payer reconciliations and revenue cycle cleanup projects Maintain compliance with payer guidelines, billing regulations, and company processes Support revenue cycle improvement initiatives and assist with resolving complex reimbursement issues Provide regular updates regarding claims status, collections activity, and reimbursement trends

QUALIFICATIONS

Minimum 2+ years of Skilled Nursing Facility (SNF) billing experience required Managed Care billing and collections experience strongly preferred Knowledge of Medicare Advantage and commercial insurance payers Experience with PointClickCare (PCC) required Experience with Inovalon preferred Strong understanding of SNF claims, authorizations, eligibility verification, and collections workflows Ability to manage multiple facilities and competing priorities simultaneously Strong communication, organizational, and problem-solving skills Proficiency with Microsoft Office (Word, Excel, Outlook) and healthcare billing systems Must be able to read, write, and communicate effectively in English.

PREFERRED QUALIFICATIONS

Experience supporting multi-facility skilled nursing or long-term care operations Knowledge of managed care reimbursement trends and payer regulations Experience with revenue cycle reporting and reconciliation processes

ABOUT US

Ryders Health Management is a family-owned management company overseeing Skilled Nursing & Rehabilitation Centers. Across all our centers, we provide exceptional, patient-centered care designed to support each resident's individual recovery or long-term care needs. Our commitment to our staff is as strong as our commitment to our residents. We offer a supportive work environment and opportunities for growth and development.

OUR CARING COMMUNITY

We are a family-owned, long-term care company located in Connecticut. As part of the Ryders Health family, you'll join a team backed by over 75 years of experience — rooted in quality care, teamwork, and staffing ratios that exceed industry standards. Come join our compassionate, dedicated team of professionals!

EQUAL OPPORTUNITY EMPLOYER STATEMENT

We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law.