Medicaid Specialist/Business Office Manager
Job Description
Business Office Manager
About the Role:
We are seeking a highly motivated and organized Business Office Manager to join our team at Country Arch Care Center in Union Township, New Jersey. As a member of our administrative team, you will be responsible for overseeing the day-to-day operations of our business office, ensuring efficient and effective management of financial, administrative, and HR functions.
Responsibilities:
Manage and coordinate the Medicaid application and eligibility process for current and prospective residents.
Obtain, verify, and maintain required financial and personal documentation for Medicaid applications and recertifications.
Communicate with residents, responsible parties, family members, attorneys, and government agencies regarding Medicaid status and requirements.
Track Medicaid applications, pending cases, approvals, denials, spend-downs, and requests for additional documentation.
Submit Medicaid claims and follow up on unpaid, denied, or rejected claims.
Maintain accurate resident financial accounts, including private-pay balances, Medicaid payments, insurance payments, and other sources of reimbursement.
Prepare and maintain census, billing, accounts receivable, and collection reports.
Monitor outstanding balances and work with residents and responsible parties to resolve payment issues.
Ensure timely completion of Medicaid redeterminations and required documentation.
Coordinate with the Admissions, Social Services, Nursing, and Clinical teams to obtain information necessary for Medicaid eligibility and billing.
Maintain accurate records in accordance with facility policies, Medicaid regulations, and applicable federal and state requirements.
Assist with audits and provide requested financial and Medicaid documentation.
Monitor changes in Medicaid regulations, reimbursement requirements, and eligibility guidelines.
Maintain confidentiality of resident financial and personal information.
Supervise or coordinate business office staff, as applicable.
Assist the Administrator with financial reporting, budgeting, collections, and other business office functions.
Perform other duties as assigned by the Administrator or Director of Finance.
How to Apply:
If you are a driven and detail-oriented professional looking for a challenging and rewarding role, we encourage you to apply to our Business Office Manager position. Please note that this is a full-time opportunity with a competitive compensation package. Apply now to join our dynamic team at Country Arch Care Center!
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