Business Office Manager/Medicaid Coordinator

We are seeking a dynamic and experienced professional to join our team as a Medicaid Coordinator/Business Office Manager at our Nursing Home facility in New York State. This dual role involves overseeing both the Medicaid coordination process and the business office operations. The ideal candidate will have a strong background in Medicaid eligibility determination, billing, and reimbursement, coupled with excellent leadership and management skills to effectively oversee the business office functions.

Responsibilities:

• Medicaid Application Management:
• Guide residents and their families through the Medicaid application process, ensuring accuracy and completeness of all required documentation.
• Coordinate with residents, families, and Medicaid offices to expedite the processing of applications and address any issues or concerns.
• Conduct comprehensive assessments of residents' financial status to determine Medicaid eligibility, adhering to state and federal regulations.
• Medicaid Billing and Reimbursement:
• Oversee the billing department in accurately submitting Medicaid claims and invoices in a timely manner.
• Monitor Medicaid reimbursements and work to resolve any billing discrepancies or denials promptly.
• Collaborate with Medicaid Managed Care organizations to enroll residents and manage their Medicaid benefits effectively.
• Business Office Management:
• Ensure compliance with financial policies, procedures, and regulations governing Medicaid billing and reimbursement.
• Develop and implement strategies to optimize revenue cycle management and maximize financial performance.
• Conduct performance evaluations and provide feedback to staff to support their professional development and growth.
• Compliance and Reporting:
• Maintain accurate records of Medicaid applications, approvals, and denials, as well as billing and reimbursement activities.
• Ensure compliance with all federal, state, and local regulations pertaining to Medicaid eligibility, billing, and reimbursement.
• Prepare reports and assist in conducting internal audits to monitor compliance and identify areas for improvement.

Qualifications:
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• Minimum of 1 year of experience in Medicaid coordination, billing, and reimbursement, preferably in a healthcare or long-term care setting.
• Strong knowledge of Medicaid regulations, policies, and procedures, particularly in New York State.
• Proven leadership and management skills, with the ability to motivate and develop a team.
• Excellent communication, interpersonal, and problem-solving skills.
• Proficiency in Microsoft Office Suite and Medicaid management software.
• Detail-oriented with strong analytical skills and the ability to multitask effectively.

This is a full-time position offering competitive compensation and benefits. If you possess the requisite qualifications and are passionate about both Medicaid coordination and business office management, we encourage you to apply for this exciting opportunity.

Job Type: Full-time

Pay: $50,000.00 - $75,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Work Location: In person

Salary : $50,000 - $75,000