Long-Term Care Billing & Finance Manager

Nationwide Healthcare Services; Philadelphia (Philadelphia County); On-site; USD 65,000 - 90,000; Full time

Job summary

Nationwide Healthcare Services in Philadelphia, PA seeks an experienced Business Office Manager for our Long Term Care site to oversee Medicaid/MCA billing and resident financials. You will submit Medicaid applications, track pending cases, liaise with CAO and families, and maintain financial records, trust accounts, and petty cash while coordinating with Corporate Billing and other departments. A strong accounting background and healthcare billing experience are essential.

Qualifications

• Knowledge of Medicaid application processes and procedures.
• Strong knowledge of Medicare and Medicaid products and third party insurances; understanding reimbursement and documentation.
• Experience in business office setting preferred in long-term care or healthcare.

Responsibilities

• Meet with residents/families to discuss financial obligations.
• Submit Medicaid applications accurately and timely.
• Track Medicaid Pending cases and communicate progress with CAO and families.
• Update Administrator and Corporate Office on MA Pending cases and barriers.
• Maintain resident financial files and prepare MA re-determinations/renewals.
• Reconcile resident trust accounts and distribute funds.
• Manage petty cash and report to Corporate.
• Prepare and deliver bank deposits.
• Perform private pay collections and follow-up on billing statements.
• Coordinate collection efforts with Nursing Home Administrator and Corporate Billing Office.
• Maintain records required by licensing agencies.
• Verify Medicare and insurance benefits.
• Maintain census information and records of payer sources.
• Handle accounts payable records and month-end closing.
• Maintain confidentiality and effective communication with residents and staff.
• Perform other duties as assigned.

Skills

Medicaid knowledge

Medicare knowledge

Third party insurance

People skills

Organizational skills

Deadline oriented

Tools

PointClickCare

RFMS

Job description

Nationwide Healthcare Services in Philadelphia, PA seeks an experienced Business Office Manager for our Long Term Care site to oversee Medicaid/MCA billing and resident financials. You will submit Medicaid applications, track pending cases, liaise with CAO and families, and maintain financial records, trust accounts, and petty cash while coordinating with Corporate Billing and other departments. A strong accounting background and healthcare billing experience are essential.