Medical Biller | Medicaid Pending Specialist - Ryders Health Management : Job Details

Medical Biller | Medicaid Pending SpecialistCompany Description:Ryders Health Management is a family-owned long term care provider entering our 75th anniversary. We operate 8 skilled nursing facilities across Connecticut, two of which were recently named among the Best Nursing Homes in America for 2025 by Newsweek, one being #1 in Connecticut!We are currently hiring a Medicaid Billing Specialist at our corporate office. We offer excellent benefits, 401K matching, company-paid life insurance and a caring community with a great deal of longevity among our staff. Come join our dynamic team today!Medicaid Billing Specialist Job Description:In this position, you will work with facilities to identify and process Medicaid Pending cases, Redeterminations, Bill and Collect Accounts Receivable in accordance with current applicable accounting and cost reimbursement principles relating to the long-term care operations, and as may be directed by the Regional Accounts Receivable Manager. Responsibilities include but are not limited to:

• Timely and accurate AR billing and collections based upon payers guidelines and requirements for facilities
• Work with families in gathering appropriate documentation for Medicaid application and redeterminations.
• Review Pending Applications with Business Office Manager to assure timeliness of authorizations and assists with redeterminations.
• Travel to facilities to gather information and work with families.
• Stay current with intermediary procedural changes.
• Maintain accurate and timely records and reports, including all accounts, journals, deposits, ledgers, etc.
• Ensure staff comply with Privacy Practices and to protect residents' health information and report any abuses (e.g., EEO, OSHA, patient rights, fraud/abuse laws)
• Keep timely, accurate and complete records and documentation.

Medicaid Billing SpecialistRequirements:

• Must have experience working with Medicaid.
• Must have as a minimum two (2) years' experience in bookkeeping or accounting practice
• Must possess an associate's degree in accounting and/or an equivalent of two (2) years training and experience in health care accounting, billing&collections.
• Knowledgeable in various payment sources as needed and assists Business Office Manager when necessary.
• Diligent in collections

Medicaid Billing Specialist Benefits:Competitive payMedical, Dental and Vision Insurance*Paid Time Off*401(k) with employer match*Employer Paid Life InsurancePaid Meal PeriodPaid Holiday Off**Employee Assistance ProgramLongevity Credit**Short-&Long-Term Disability*Employee Referral ProgramFree ParkingRyders Health Management is an equal opportunity employer and we do not discriminate on the basis of age, race, gender, religion, ethnicity, national origin or any other characteristic.#RHMC