Medicaid Billing & Revenue Assistant Manager

Apploi; Raleigh (NC); On-site; USD 45,000 - 65,000; Full time

Job summary

Apploi in Raleigh, NC seeks an Assistant Business Office Manager to support billing, accounts receivable, and resident trust funds with Medicaid and Third-Party payer focus. You will step in for BOM as needed to ensure accurate and timely medical billing.

The role requires accounting aptitude, experience in long-term care or medical offices, attention to detail, and the ability to lead a small team while maintaining professional resident communication.

Qualifications

• Account analysis and auditing experience.
• Experience in long-term care and/or medical office background.
• Verbal and written communication skills.
• Computer skills with accounting software knowledge.
• Knowledge of basic office machines.
• Excellent organizational skills with attention to detail.
• Able to handle multiple priorities.
• Able to work without direct supervision.
• Able to work as a team leader.
• High level of professionalism in appearance and demeanor.

Responsibilities

• Assists the BOM in completion of all business office functions; assumes responsibility for business office functions in the absence of the BOM.
• Attends and participates in stand-up and other meetings in absence of the BOM.
• Assists with scheduling of business office staff as needed.
• Assists in all functions of patient/resident fund management system including accurate accounting, maintenance, and security of patient/resident funds.
• Ensures that patient/resident fund transactions are accurately recorded in the system in a timely manner and that accounts reconcile.
• Receives and responds to resident/family questions regarding billing in a timely manner.
• Assists BOM as requested in follow-up and collection of all payer sources.
• Makes collection calls to proactively prevent accounts from becoming delinquent.
• Assists the BOM in the processing and evaluating of the pre-admission financial reviews.
• Assists the BOM in monitoring private pay accounts to communicate with residents/families regarding Medicaid eligibility and the application process.
• Assists the BOM in the completion of end of month pre-close and close processes to ensure timely and accurate billing of all accounts.
• Ensures all mandatory training is completed on time.
• Performs other duties as necessary for the successful operation of the healthcare center.
• Takes lead on follow-up and collection of Medicaid and Third-Party payer sources.
• Identifies and works to resolve billing issues with Medicaid & Third-Party accounts.
• Monitors Medicaid & Third-Party aging reports and conducts follow-up on unpaid and underpaid claims; takes appropriate action to correct and re-bill if necessary for re-imbursement.
• Monitors payer websites for claim status, patient pay reports, and patient eligibility.
• Establishes and maintains positive, professional relationships with the local Medicaid Eligibility Offices at the Department of Social Services.
• Accurately and completely documents status updates in PCC on all accounts regularly.
• Submits and tracks required forms for Medicaid payer sources including admission, level of care change, and discharge notifications in a timely manner.
• Completes and submits requests for patient pay adjustments in a timely manner.
• Ensure that Medicaid applications and renewals are completed and followed-up on appropriately.

Skills

Verbal communication

Written communication

Organizational skills

Multitasking

Team leadership

Professionalism

Attention to detail

Tools

Accounting software

Office equipment

Job description

Apploi in Raleigh, NC seeks an Assistant Business Office Manager to support billing, accounts receivable, and resident trust funds with Medicaid and Third-Party payer focus. You will step in for BOM as needed to ensure accurate and timely medical billing.

The role requires accounting aptitude, experience in long-term care or medical offices, attention to detail, and the ability to lead a small team while maintaining professional resident communication.