Documentation and Claims Specialist

Volare Health, LLC • Louisville, KY

2d • $50,000 - $60,000 • Onsite

About The Position

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)

Requirements

• Minimum of three (3) years of experience in healthcare reimbursement, including ADR management, RAC/MAC audits, and Managed Care claims.
• Strong working knowledge of Medicare, Medicaid, and Managed Care billing practices.
• Detail-oriented with strong organizational, analytical, and communication skills.

Nice To Haves

• Experience within a Skilled Nursing or Long-Term Care environment preferred.

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 requirements and maintain organized records of ADR responses and claim follow-ups.
• Support audit activities and provide education to facility staff on ADR workflows and documentation standards.
• Stay current with CMS regulations and evolving payer policies impacting reimbursement.

Benefits

• Comprehensive medical, dental, and vision coverage (employee and family options available)
• Career growth and advancement opportunities
• Company-paid life insurance
• Flexible Spending Account (FSA)
• Health Savings Account (HSA)
• Paid Time Off (PTO)
• Tuition reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed