Long-Term Care Medicaid Billing & Compliance Specialist

Apploi; La Plata (MD); Vor Ort; USD 36.000 - 52.000; Vollzeit

Zusammenfassung

Apploi is seeking a Long Term Care Medicaid Business Office Specialist to provide daily administrative support in a long-term care facility. The role involves handling resident demographics, financials, insurance, and billing information, and assisting with Medicare/Medicaid documentation.

The applicant should have experience in a business/medical office within healthcare or long-term care, proficiency in Microsoft Word and Excel, and a commitment to confidentiality and accuracy in a regulated

Qualifikationen

• High school diploma or equivalent required.
• Experience in business office, medical office, healthcare, long-term care, billing, accounts receivable, or administrative experience preferred.
• Experience in a skilled nursing or long-term care facility strongly preferred.
• Experience with Medicare, Medicaid, insurance billing, resident fund trust accounts, or healthcare reimbursement is a plus.
• Strong computer skills including Microsoft Word and Excel and long-term care software applications.

Aufgaben

• Provide daily administrative and clerical support to the Business Office Manager and facility leadership.
• Assist with maintaining accurate resident demographic, financial, insurance, and billing information.
• Assist with Medicare, Medicaid, managed care, and private pay documentation as assigned.
• Review documents for completeness, accuracy, and required signatures.
• Assist with collecting and organizing information needed for Medicaid applications, renewals, and eligibility verification.
• Assist with following up on outstanding documentation, missing information, and pending accounts.
• Assist with reviewing and tracking outstanding balances and communicating concerns to the appropriate Business Office staff.
• Answer telephone calls, respond to routine questions, take messages, and direct residents, families, vendors, and other callers to the appropriate department.
• Provide professional customer service to residents and their responsible parties regarding routine billing and account questions.
• Assist with preparing correspondence, reports, spreadsheets, forms, and other business office documents.
• Maintain organized electronic and paper files in accordance with facility procedures and confidentiality requirements.
• Enter and update information in facility computer systems and billing-related software accurately and timely.
• Assist with obtaining and maintaining required resident financial documentation.
• Assist with tracking payments, deposits, receipts, and other financial documentation as assigned.
• Work closely with the Business Office Manager, Administrator, Admissions, Social Services, Nursing, and other departments to obtain information necessary to maintain accurate resident accounts.
• Assist with preparing documentation for audits, surveys, and internal reviews.
• Maintain strict confidentiality of resident, employee, financial, and other sensitive information in accordance with facility policies and applicable regulations.
• Follow all facility policies and procedures, including HIPAA, privacy, security, and record-retention requirements.
• Assist with special projects and other administrative duties as assigned by the Business Office Manager or Administrator.

Kenntnisse

Strong written & verbal communication

Excellent organizational skills

Attention to detail

Prioritizing multiple tasks

Ausbildung

High school diploma or equivalent

Tools

Microsoft Word

Excel

Long-term care software

Jobbeschreibung

Apploi is seeking a Long Term Care Medicaid Business Office Specialist to provide daily administrative support in a long-term care facility. The role involves handling resident demographics, financials, insurance, and billing information, and assisting with Medicare/Medicaid documentation.

The applicant should have experience in a business/medical office within healthcare or long-term care, proficiency in Microsoft Word and Excel, and a commitment to confidentiality and accuracy in a regulated