Medicaid Specialist/Business Office Manager

Job Description

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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