Medicaid Coordinator

Apploi; Roanoke (VA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health Insurance

Dental Vision

401k

Tuition Reimbursement

Recognition Programs

Daily Pay

Job summary

Eastern Health Group seeks a Medicaid Coordinator to supervise, coordinate, and perform business office functions under the Administrator, ensuring accurate billing and compliance with state and federal guidelines.

The role focuses on Medicaid/Medicare billing, accounts receivable, reporting, and staff supervision, with a mission to maintain timely payments, protect resident trust, and support hospital-level financial integrity.

Qualifications

• Bachelor's degree in Business or relevant experience in long-term care.
• Minimum of three (3) years related experience.
• One (1) to two (2) years management/supervisory experience; office management experience preferred.
• Effective verbal and written English communication skills.
• Demonstrated intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.
• Highest level of professionalism with the ability to maintain confidentiality.

Responsibilities

• Meet physical and sensory requirements and be able to work in the described environment.
• Prepare and submit reports on a timely basis as required and directed by the Administrator, the company and governmental agencies.
• Accumulate and maintain vital statistics relating to admissions, discharges, deaths, transfers and daily census of facility residents.
• Prepare and submit monthly resident billings for services provided.
• Responsible for monthly Medicaid, Medicare, and other insurance billings along with timely follow-up with intermediaries on delinquent payments.
• Monitor and manage the accounts receivable collection process in coordination with outside billing company.
• Pursue past due accounts persistently and maintain proper back-up documentation.
• Obtain and submit all required documentation to bill third party payers as per program/company guidelines.
• Maintain financial records including cash receipts, cash disbursements, accounts receivable, accounts payable, payroll journal.
• Attend department head meetings, seminars, and workshops, when approved, to assure current knowledge of State and Federal laws and regulations pertaining to bookkeeping functions.
• Responsible for reconciling all facility cash and accounts.
• Verify that resident trust is accurately recorded.
• Maintain an accurate accounting of patient trust funds including monthly reconciliation and quarterly statements to responsible parties. Reconcile petty cash for patient trust fund daily.
• Participate in the resident admission process by providing explanations of the facility's rates, billing cycle and payment terms, including collecting the first month's advance payment upon admission.
• Supervise and oversee other business office clerical staff, as assigned.
• Other special projects and duties, as assigned.

Skills

Verbal communication

Written English

Attention to detail

Customer service

Problem solving

Time management

Team collaboration

Analytical thinking

Education

Bachelor's degree in Business

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

Internet navigation

Intranet navigation

Job description

Medicaid Coordinator

Summary:

Supervise, coordinate, and perform business office functions under the direction of the Administrator in accordance with sound accounting practices.

Benefits and Perks:

• Health Insurance
• Dental + Vison
• 401k
• Tuition reimbursement through ECPI
• Employee recognition programs
• Daily Pay

Essential Duties & Responsibilities:

• Meet physical and sensory requirements stated below, and be able to work in the described environment.
• Prepare and submit reports on a timely basis as required and directed by the Administrator, the company and governmental agencies.
• Accumulate and maintain, in an organized manner, vital statistics relating to admissions, discharges, deaths, transfers and daily census of facility residents.
• Prepare and submit monthly resident billings for services provided.
• Responsible for monthly Medicaid, Medicare, and other insurance billings along with timely follow-up with intermediaries on delinquent payments in coordination with outside billing company.
• Monitor and manage the accounts receivable collection process in coordination with outside billing company.
• Pursue past due accounts persistently and maintain proper back-up documentation.
• Obtain and submit all required documentation to bill third party payers as per program/company guidelines.
• Maintain financial records including any cash receipts, cash disbursements, accounts receivable, accounts payable, payroll journal, as directed.
• Attend department head meetings, seminars, and workshops, when approved, to assure current knowledge of State and Federal laws and regulations pertaining to bookkeeping functions.
• Responsible for reconciling all facility cash and accounts.
• Verify that resident trust is accurately recorded.
• Maintain an accurate accounting of patient trust funds including monthly reconciliation and quarterly statements to responsible parties. Reconcile petty cash for patient trust fund daily.
• Participate in the resident admission process by providing explanations of the facility's rates, billing cycle and payment terms, including collecting the first month's advance payment upon admission.
• Supervise and oversee other business office clerical staff, as assigned.
• Other special projects and duties, as assigned.

Job Requirements:

• Bachelor’s degree in Business or relevant experience in long-term care.
• Minimum of three (3) years related experience.
• One (1) to two (2) years management/supervisory experience required; office management experience preferred.
• Effective verbal and written English communication skills.
• Demonstrated intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.
• Highest level of professionalism with the ability to maintain confidentiality.
• Ability to communicate at all levels of organization and work well within a team environment in support of company objectives.
• Customer service oriented with the ability to work well under pressure.
• Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.
• Strong analytical and problem solving skills.
• Ability to work with minimal supervision, take initiative and make independent decisions.
• Ability to deal with new tasks without the benefit of written procedures.
• Approachable, flexible and adaptable to change.
• Function independently, and have flexibility, personal integrity, and the ability to work effectively with employees and vendors.

Physical and Sensory Requirements:

• Moderate physical activity:
• Requires handling of average-weight objects up to twenty five (25) pounds.
• Sitting for more than two (2) hours at a time.
• Requires consistent computer work with repetitive typing and concentrating on computer screen.

About Eastern Healthcare Group:

Eastern Health Group is a family of skilled nursing facilities and rehabilitation centers. We are resident-centered and quality-focused! Our workplace culture is all about uplifting people.We are committed to creating a nurturing, family-like atmosphere where staff develop meaningful relationships with residents and where exceptional patient outcomes are the standard.