Medicaid Billing Coordinator

Job Description

Job Description

Gurwin Healthcare System is a full healthcare continuum providing extraordinary care to the Long Island community and beyond.  Set primarily on a 36-acre campus in Commack, NY, the Gurwin Healthcare System includes the 460-bed Gurwin Jewish Nursing & Rehabilitation Center, Gurwin's Assisted Living community (Gurwin Jewish ~ Fay J. Lindner Residences), our independent living community (Fountaingate Gardens), Island Nursing and Rehab Center, and two certified (CHHA) and licensed home care (LHCSA) agencies.

Our innovative facility and growing services offer opportunities to advance your career. We are currently seeking a Medicaid Billing Coordinator.

EDUCATION AND EXPERIENCE REQUIREMENTS :

• High School Diploma
• Minimum of 2 years SNF or DDS experience required.
• Familiarity with NY Medicaid / Hospice billing & NAMI processing.
• Knowledge of ePaces in verifying eligibility, claims submissions, adjustments, and void claims.
• Knowledge of Excel and Point Click Care helpful.

JOB RESPONSIBILITIES:

• Daily census review and reconciliation with timely and accurate submission of weekly Medicaid billing for SNF and Daycare Programs and monthly billing for Medicaid Hospice.
• Process and submit electronic claims files on a weekly basis for all nursing home Medicaid residents.
• Process and reconcile electronic weekly Medicaid remittances, investigate denials and maintain on-going listing and follow-up performed with appropriate remedies documented and reviewed with supervisor weekly.
• Communicate and work with Medicaid unit regarding billing / Nami issues.
• Advise prospective resident family members regarding Medicare and Medicaid regulations and facility policies.
• Process and submit electronic and/or paper claims for all Adult Day Care Registrants on a weekly basis for traditional Medicaid and monthly basis for MLTC Registrants.
• Process Security Deposit refunds for our ADC programs.
• Visits non-authorized or expired authorizations and notifies ADC timely so authorizations can be obtained.
• Review accuracy of payments to ensure the highest level of reimbursement is obtained.  Make corrections as needed and file an Adjustment Bill and rebill for maximum benefit.
• Process Electronic Rebills and Manual Adjustments in a timely and efficient manner.
• Advise Private/NAMI biller of any financial class changes or rebilling required as a result of a Budget change.
• Set up new Hospice residents in billing system and maintain a Hospice List for each billing cycle.
• Keep informed of any changes in Medicaid regulations and their impact on skilled nursing facilities.
• Assist in covering other financial staff members during absences (i.e.: vacations, sickness, etc.).
• Perform other duties as assigned.

We offer an excellent salary, a dynamic work environment and a comprehensive benefits package.  

·       Medical Insurance (Anthem Blue Cross Blue Shield) for eligible employees, plus a family option. Includes:

o   Fitness Reimbursement Program

o   Wellness discounts

·       Dental Insurance through MetLife

·       Vision Insurance through Anthem Blue Cross Blue Shield (EyeMed)

·       Accrued holiday/personal and vacation time; payout for unused sick time for those who qualify

·       Flexible Spending Account – Medical and/or Dependent Care

·       Long term disability Insurance for those who qualify (no cost to employee)

·       Life Insurance – value is equal to employee’s annual salary (no cost to employee)

·       National Employee Assistance Program (no cost to employee)

·       Childcare, membership and program discounts at Suffolk YJCC, Commack and Mid-Island YJCC, Plainview

·       Tax deferred annuity plan – employee automatically enrolled with 3% contribution / employer contributes 4% after one year of service (graded vesting)

·       Tuition Reimbursement up to $5,000 per year

·       Sign-on bonus for specified clinical positions

·       Employee Referral Bonus for specified clinical positions

·       Starbuck’s café on-site

·       Staff cafeteria with subsidized pricing

·       Employee perks including holiday gift cards, System-wide annual BBQ and Winter Celebrations, meals, treats and other theme related staff events

·       Other discounts and added value for employees from outside corporations including BJs membership discount, FourLeaf FCU savings perks, Plum Benefits Entertainment discounts and more!

EOE M/F/D/V