Documentation and Claims Specialist

Job description

Confidential Posting – Documentation & Claims Specialist (SNF/LTC) A growing multi-state healthcare organization is seeking a Documentation and Claims Specialist to oversee and coordinate responses to Additional Documentation Requests (ADRs) from Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and Managed Care payers for Skilled Nursing (SNF) and Long-Term Care (LTC) facilities. This role partners closely with facility leadership, compliance, and billing teams to ensure accurate, timely documentation submissions, optimize reimbursement outcomes, and maintain compliance with federal and state regulations. Schedule: Full-time in office in Louisville, Kentucky Compensation: $50,000–$60,000 annually (salaried) Key Responsibilities: Track, manage, and coordinate ADRs from RAC, MAC, and Managed Care entities, collaborating with facility teams to collect and submit required documentation. Review claims for accuracy, monitor denials, resolve discrepancies, and ensure adherence to payer guidelines. Serve as a liaison between corporate and facility teams to facilitate communication related to documentation and claims. Ensure all submissions meet regulatory requir...