Medicaid Billing & Operations Manager - Nursing Facility

Advanced Hiring System; United States; On-site; USD 75,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k)

Paid time off

Paid holidays

Job summary

Advanced Hiring System is seeking a Business Office / Medicaid Specialist for a Skilled Nursing Facility in Sussex County, NJ. The role centers on Medicaid applications, billing, and resident financials, requiring meticulous attention to detail and collaborative work with residents, families, staff, and outside agencies.

Responsibilities include processing Medicaid applications, renewals, and follow-up; documenting and tracking required materials; assisting with billing, claims, and collections;

Qualifications

• Experience in nursing home business office, Medicaid, billing, or collections.
• Familiar with Medicaid processes; New Jersey Medicaid experience is a plus.
• Strong organizational and follow-up skills.
• Ability to communicate professionally with families, residents, and staff.
• Comfortable working with billing systems, Microsoft Office, and electronic records.
• Able to manage multiple priorities in a busy office environment.

Responsibilities

• Handle Medicaid applications, renewals, and follow-up from beginning to end.
• Communicate with residents and families regarding required financial documentation.
• Track pending applications and follow up with Medicaid offices as needed.
• Review resident financial information related to eligibility.
• Assist with billing, claims submission, payment posting, and account follow-up.
• Help resolve denials, payment issues, and outstanding balances.
• Monitor Medicaid Managed Care enrollment and related follow-up.
• Support day-to-day business office operations.
• Assist with collections, census-related billing items, and reporting.
• Maintain organized records and documentation.
• Help ensure compliance with facility policies and applicable regulations.

Skills

Nursing home billing

Medicaid expertise

Billing & collections

Microsoft Office

Organizational skills

Communication skills

Tools

Billing systems

Electronic records

Job description

Advanced Hiring System is seeking a Business Office / Medicaid Specialist for a Skilled Nursing Facility in Sussex County, NJ. The role centers on Medicaid applications, billing, and resident financials, requiring meticulous attention to detail and collaborative work with residents, families, staff, and outside agencies.

Responsibilities include processing Medicaid applications, renewals, and follow-up; documenting and tracking required materials; assisting with billing, claims, and collections;