Hybrid Remote Business Office Manager (NY Medicaid Specialist)

Hybrid Remote Business Office Manager (NY Medicaid Specialist) Salary: $120,000 per year Benefits: Medical, Dental, Vision Insurance Life Insurance Disability Insurance 401K Paid Time Off Position Summary The Remote Business Office Manager is responsible for the end-to-end lifecycle of New York State Nursing Home Medicaid applications. This role focuses on securing facility reimbursement by navigating the complexities of local Departments of Social Services (DSS/HRA), managing the 5-year lookback process, and ensuring all resident income is properly diverted. Key Responsibilities Medicaid Lifecycle Management: Oversee all new NY Medicaid applications from initial filing through the “Notice of Decision,” coordinating closely with corporate billing teams. Virtual Enrollment: Conduct remote intake meetings with families/responsible parties via phone or video to review financial obligations and secure necessary documentation. Documentation & Lookback: Expertly audit financial records for the 5-year lookback period; identify and resolve potential penalty periods or transfers of assets. Revenue Management: Facilitate the “Social Security Income Turnover” and complete Representative Payee forms to ensure Net Available Monthly Income (NAMI) is directed to the facility. Regulatory Compliance: Maintain rigorous knowledge of NYS DOH guidelines, including Resource Allowances , Spousal Impoverishment rules, and Pooled Trusts . Remote Administration: Manage “Triple Check” processes virtually and coordinate with on-site facility staff to ensure all mail and physical documents are digitized and processed. PNA & Trust Accounts: Oversee Resident Trust Funds (PNA) in compliance with state and federal regulations. Core Skills & Knowledge NY Medicaid Expertise: Deep understanding of the New York State Medicaid application process (specifically for Long Term Care). Digital Proficiency: Advanced skills in document management systems, EMR software (e.g., PointClickCare, MatrixCare), and virtual meeting platforms. High-Volume Management: Ability to manage a large caseload across multiple NY counties or facilities simultaneously. Communication: Exceptional interpersonal skills to guide stressed family members through complex financial disclosures remotely. Job Requirements Experience: Minimum 3–5 years of experience in NY Nursing Home Medicaid billing or admissions. Confidentiality: Strict adherence to HIPAA and the ability to handle sensitive financial data in a remote environment. Independence: Proven ability to work autonomously, meet strict state deadlines, and problem-solve without direct on-site supervision. Organization: Masterful ability to track “Pending” statuses and follow up with caseworkers at various DSS/HRA offices. #J-18808-Ljbffr SNF Rehab & Healthcare