Business Office Manager

Talentify; Towson (MD); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

Talentify in Towson, MD is seeking a Business Office Manager to oversee Medicaid coordination, billing, and reimbursement within a nursing home setting.

The role requires strong leadership, knowledge of Medicaid regulations, and a track record of improving revenue cycle processes while ensuring compliant operations.

Qualifications

• 2+ years in Medicaid coordination, billing, and reimbursement in healthcare.
• Strong knowledge of Medicaid regulations and policies.
• Excellent communication and problem-solving skills.
• Proficient in Microsoft Office and related software.

Responsibilities

• Oversee Medicaid application management and ensure accuracy of documentation.
• Coordinate with residents, families, and Medicaid offices to expedite processing.
• Assess residents' financial status to determine Medicaid eligibility.
• Monitor reimbursements and resolve billing discrepancies or denials.
• Collaborate with Medicaid Managed Care organizations to enroll residents and manage benefits.
• Ensure compliance with Medicaid billing regulations and maximize revenue cycle performance.
• Prepare reports and assist in internal audits to monitor compliance.

Skills

Medicaid coordination

Billing

Reimbursement

Leadership

Communication

Microsoft Office

Tools

Medicaid management software

Job description

We are seeking a dynamic and experienced professional to join our team as a Business Office Manager at our Nursing Home facility in Towson. This 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.
• Detail-oriented with strong analytical skills and the ability to multitask effectively.

Benefits:

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance