Financial Tracker – Long-Term Care / Skilled Nursing Facilities

Hybrid- Remote

55k-80k+ (Depending on Experience)

Our Client is seeking a financial Tracker. This person serves as the frontline guardian of each resident’s payor source, ensuring no case falls through the cracks from admission through discharge. This role supports and oversees facility Business Office Managers (BOMs), monitors payor conversions, drives Medicaid application progress, and ensures timely completion of documentation needed for eligibility and billing. The Financial Tracker bridges the gap between the facility and the centralized billing team, guaranteeing all payor sources are secured, updated, and ready for billing with zero interruption to cash flow.

Responsibilities:

• Resident Payor Source Management:

Monitor payor source for every resident across assigned facilities to ensure continuous coverage (Medicaid, Medicare, HMO, private pay, pending categories, etc.).

Track all Medicaid pending cases from start to finish, ensuring deadlines, renewals, redeterminations, and requests for information are met.

Validate that all residents have active, billable payor sources and escalate gaps immediately.

• Oversight & Support of BOMs:

Provide direct guidance, accountability, and performance oversight for facility BOMs related to admissions paperwork, payor updates, and financial documentation.

Conduct routine check-ins, audits, and follow-ups with each BOM to ensure all required forms, applications, and verifications are completed accurately and on time.

Serve as the go-to resource for BOM questions related to financial eligibility, payor conversions, and regulatory expectations.

• Medicaid Application & Documentation Support:

Assist BOMs and families with Medicaid application documentation gathering including bank statements, insurance policies, pensions, life insurance verifications, property information

Maintain a centralized tracking log (Medicaid pending tracker) with status, outstanding items, due dates, and county/state communications.

Coordinate with state agencies, caseworkers, and families to push applications to completion.

• Resident Liability & Collections:

Make and document collections calls for NAMI / patient liability, private pay balances, and any resident-responsible amounts.

Follow up on past-due liabilities and work with BOMs to resolve missing or incorrect income information.

Support financial counseling conversations with residents and families as needed.

• Pre-Billing Readiness / Billing Support (Non-Billing Role):

Ensure all information needed by the billing team is clean and complete before month-end bill runs -

Correct payor source in EHR

Medicaid approval dates

HMO authorizations and notices:

Level of care confirmations

Work closely with the central billing team to quickly resolve eligibility issues preventing claims submission.

• Admissions & Ongoing Eligibility:

Review all new admissions for financial risk, missing documentation, or potential eligibility delays.

Track ongoing requirements such as renewals, Managed Care recerts, and annual Medicaid redeterminations.

Identify trends or repeated issues and communicate risk to leadership.

• Reporting & Analytics:

Maintain dashboards, trackers, and reports on

Medicaid pending cases

Payor source changes

Resident liabilities collected vs. outstanding

At-risk residents

Present weekly and monthly summaries to leadership and billing management.

Qualifications:

• Strong understanding of SNF billing workflows including Medicare, Medicaid, Managed Care, and private pay.
• Experience tracking census, payer mix, and reimbursement trends to forecast revenue accurately.
• Ability to monitor AR aging, denials, collections, and monthly cash-flow performance.
• Knowledge of MDS, PDPM, and clinical documentation requirements that impact reimbursement.
• Proficiency in insurance verification, authorization tracking, and coverage changes.
• Skilled in reviewing EOBs, remittances, and payment discrepancies to ensure correct reimbursement.
• Comfort working with administrators, BOMs, DONs, and interdisciplinary teams to align clinical and financial outcomes.
• Strong Excel skills for reporting, pivot tables, and financial tracking dashboards.
• Detail-oriented, organized, and proactive in identifying issues in billing, census, or reimbursement.
• Experience with SNF financial software (e.g., PointClickCare, MatrixCare, SigmaCare, NetSolutions).