Benefits & Eligibility Coordinator

Asbury Communities; Gaithersburg (MD); On-site; USD 65,000 - 75,000; Full time

Job summary

Asbury Methodist Village in Gaithersburg, MD is seeking a detail-oriented Benefits & Eligibility Coordinator to oversee Medicaid billing and resident eligibility. You will act as the Medicaid subject matter expert, ensuring compliance with state guidelines and supporting the financial health of our skilled nursing facilities.

You will manage applications, verify payer coverage before admission, lead the resident funds program, and help shape Medicaid policy updates to streamline processes.

Qualifications

• Bachelor’s degree or equivalent experience required.
• 2–5 years of Medicaid, Medicare, and third-party billing/application experience preferred.
• 1–2 years of accounting experience with computerized systems.
• Strong attention to detail, organization, and communication skills.
• Proficiency in Microsoft Office; comfort with databases/software systems.

Responsibilities

• Manage the Medicaid application and reapplication process for residents, including complex cases, ensuring compliance with regulations.
• Oversee intake and eligibility verification for Skilled Nursing Facilities, developing systems to confirm payer coverage before admission.
• Lead the resident funds program (RFMS) and banking system, ensuring timely and compliant processing of refunds and transactions.
• Track Medicaid Pending aging, support Facility Billing Counselors, and update resident income changes.
• Collaborate on collection activities, including monitoring Resident Responsibility Accounts Receivable and referring cases to outside agencies as needed.
• Guide policy development and updates related to Medicaid processes and ensure adherence to safety management standards.

Skills

Attention to detail

Organization

Communication skills

Microsoft Office

Database software

Education

Bachelor’s degree or equivalent experience

Accounting experience

Tools

Medicaid billing systems

Job description

Today is a new day. At Asbury we’re filling it with more laughter, more possibilities, more ways to give back, all backed by support for whatever life brings your way. We are an organization with a mindset to help others, a place where seniors continue to teach, learn, and grow, a certified Great Place to Work where you can build a purposeful career. Let’s do all the good we can in this world – together.

Full-time Opportunity, Gaithersburg, MD

Compensation Range: $65,000 - $75,000 annually

Job Description

We are seeking a detail-oriented and knowledgeable Benefits & Eligibility Coordinator to oversee Medicaid billing and application processes at our Gaithersburg, MD community, Asbury Methodist Village. In this key role, you will serve as the subject matter expert on Medicaid, managing resident eligibility, and ensure compliance with all State and County guidelines. You’ll also oversee resident funds programs and play a vital role in maintaining the financial health of our Skilled Nursing Facilities.

What You’ll Do

Manage the Medicaid application and reapplication process for residents, including complex cases, ensuring compliance with regulations.

Oversee intake and eligibility verification for Skilled Nursing Facilities, developing systems to confirm payer coverage before admission.

Lead the resident funds program (RFMS) and banking system, ensuring timely and compliant processing of refunds and transactions.

Track Medicaid Pending aging, support Facility Billing Counselors, and update resident income changes.

Collaborate on collection activities, including monitoring Resident Responsibility Accounts Receivable and referring cases to outside agencies as needed.

Guide policy development and updates related to Medicaid processes and ensure adherence to safety management standards.

Qualifications

Required Qualifications

• Bachelor’s degree in a related field or equivalent experience
• 2–5 years of Medicaid, Medicare, and third-party billing/application experience

1–2 years of accounting experience with computerized systems

Strong attention to detail, organization, and communication skills

Proficient in Microsoft Office; comfortable with databases/software systems

Preferred Qualifications

• Prior knowledge of the Maryland Medicaid program

Experience developing process improvements and efficiencies

Ability to think strategically and support policy or program enhancements

Familiarity with resident funds programs and/or healthcare-related financial systems

Additional Information

Depending upon the status of the position, Asbury offers generous benefits including medical, dental, and vision coverage; 401K with match; PTO and paid holidays.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. #TB1