Towson Rehabilitation and Healthcare Center -
We are seeking a dynamic and experienced professional to join our team as a Business Office Manager / Medicaid Specialist at our Nursing Home facility At Atlas- T owson .
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.
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.
Compliance and Reporting :
Maintain accurate records of Medicaid applications, approvals, and denials,
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 :
Minimum of 2 years 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,
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.
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