Business Office Manager/Medicaid Coordinator

A&P Payroll Management; Village of Wappingers Falls (NY); On-site; USD 55,000 - 75,000; Full time

Job summary

Sapphire Nursing at Wappingers, a skilled nursing facility in Dutchess County, New York, seeks a Business Office Manager/Medicaid Coordinator to join its administrative team. You will assist residents applying for Medicaid coverage and support the back office with billing and collections.

The role involves coordinating with the Department of Social Services, preparing Medicaid applications, and maintaining accurate resident financial records, including trust accounts.

Responsibilities

• Verify residents' eligibility for Medicaid.
• Process Medicaid applications and gather required paperwork.
• Review pending Medicaid cases with DSS and advise on problem cases.
• Follow up on recertification requests from DSS.
• Contact Medicaid regarding recertification problems and budget determinations.
• Prepare and submit new Medicaid applications.
• Maintain billing and financial information on resident files.
• Maintain resident trust accounts and reconcile balances monthly.
• Coordinate all collection efforts with the nursing home administrator.
• Maintain records of payor sources, addresses, and phone numbers; explain bills to residents.
• Maintain confidentiality and communicate effectively with residents, families, and staff.
• Perform general office duties as assigned.

Job description

Sapphire Nursing at Wappingers, a skilled nursing facility located in Dutchess County, New York is lookingto hire a Business Office Manager/Medicaid Coordinator to join their business office. This position is responsible for assisting residents applying for Medicaid coverage and assisting the back office in collecting private and NAMI balances. In addition, the business office manager will perform general office activities for the facility as assigned by the Office Manager and/orFacilities Administrator.

Responsibilities:

• Verify patients’ eligibility for Medicaid.
• Process Medicaid applications, meet with families and collect required paperwork.
• Review Medicaid Pending cases with Department of Social Services and/or Medicaid caseworker. Advise facility administrator and corporate Office on problem cases.
• Follow-up on requests by the Dept. of Social Services for recertification and approval.
• Contact Medicaid with recertification problems and budget determinations.
• Prepare and submit new Medicaid applications.
• Maintain necessary billing and financial information on resident files.
• Maintain resident trust accounts and reconcile balances monthly.
• Perform and coordinate all collection efforts with the nursing home Administrator.
• Maintain accurate records of payor sources, addresses, telephone numbers, etc.; explain bills to residents as necessary and maintain appropriate back-up records.
• Maintain confidentiality of all information.
• Maintain effective communication with residents, families, facility staff and business office staff members.
• General office duties as assigned.

EOE-Statement

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.