LONG TERM CARE MEDICAID BUSINESS OFFICE SPECIALIST

LONG TERM CARE MEDICAID BUSINESS OFFICE SPECIALIST

Experience in a long-term care facility and knowledge of the healthcare business office environment are required for this position. Experience with all aspects of Maryland Long Term Care Medical Assistance is required. Essential Duties and Responsibilities Provide daily administrative and clerical support to the Business Office Manager and facility leadership. Assist with maintaining accurate resident demographic, financial, insurance, and billing information. Assist with Medicare, Medicaid, managed care, and private pay documentation as assigned. Review documents for completeness, accuracy, and required signatures. Assist with collecting and organizing information needed for Medicaid applications, renewals, and eligibility verification. Assist with following up on outstanding documentation, missing information, and pending accounts. Assist with reviewing and tracking outstanding balances and communicating concerns to the appropriate Business Office staff. Answer telephone calls, respond to routine questions, take messages, and direct residents, families, vendors, and other callers to the appropriate department. Provide professional customer service to residents and their responsible parties regarding routine billing and account questions. Assist with preparing correspondence, reports, spreadsheets, forms, and other business office documents. Maintain organized electronic and paper files in accordance with facility procedures and confidentiality requirements. Enter and update information in facility computer systems and billing-related software accurately and timely. Assist with obtaining and maintaining required resident financial documentation. Assist with tracking payments, deposits, receipts, and other financial documentation as assigned. Work closely with the Business Office Manager, Administrator, Admissions, Social Services, Nursing, and other departments to obtain information necessary to maintain accurate resident accounts. Assist with preparing documentation for audits, surveys, and internal reviews. Maintain strict confidentiality of resident, employee, financial, and other sensitive information in accordance with facility policies and applicable regulations. Follow all facility policies and procedures, including HIPAA, privacy, security, and record-retention requirements. Assist with special projects and other administrative duties as assigned by the Business Office Manager or Administrator. Qualifications and Experience High school diploma or equivalent required. Previous business office, medical office, healthcare, long-term care, billing, accounts receivable, or administrative experience preferred . Experience working in a skilled nursing or long-term care facility is strongly preferred . Experience with Medicare, Medicaid, insurance billing, resident fund trust accounts, or healthcare reimbursement is a plus. Strong computer skills, including Microsoft Word and Excel and long-term care software applications. Excellent organizational skills and attention to detail. Ability to prioritize multiple tasks and meet deadlines. Strong written and verbal communication skills. Ability to maintain confidentiality and handle sensitive financial and resident information professionally. Ability to work effectively with residents, families, employees, insurance representatives, and facility leadership. Must demonstrate professionalism, dependability, accuracy, and a commitment to providing excellent customer service. #J-18808-Ljbffr Apploi