Revenue Cycle Coordinator – Skilled Nursing Facility

Sadie G. Mays Health & Rehabilitation Center; Atlanta (GA); On-site; USD 45,000 - 65,000; Full time

Job summary

Sadie G. Mays Health & Rehabilitation Center seeks a Financial Counselor to support residents with Medicaid eligibility, applications, renewals, and billing coordination.

The role acts as the main contact for residents, families, and internal departments, ensuring accurate documentation and timely reimbursement. You will explain financial obligations in clear terms, gather required documentation, and collaborate with admissions and billing teams to maintain smooth payer processing and compliant

Qualifications

• Experience with Medicaid programs and screening for eligibility.
• Ability to explain financial obligations clearly to residents and families.
• Strong organizational skills for handling documents and deadlines.

Responsibilities

• Serve as the primary financial contact for residents and representatives.
• Interview residents to evaluate payer sources and eligibility.
• Explain Medicaid requirements, resident liability, and spend-downs clearly.
• Submit and track Medicaid applications, renewals, and changes.
• Collect and organize required financial and identity documents.
• Follow up to resolve missing information and delays.
• Monitor Medicaid accounts and maintain accurate notes and deadlines.
• Coordinate with admissions, social services, and billing teams for payer setup.
• Review balances and denials; support corrections and rebilling.
• Perform weekly Medicaid billing, statements, and collections follow-up.

Skills

Medicaid eligibility

Billing coordination

Financial counseling

Communication with residents

Tools

Medicaid software

Job description

The Financial Counselor supports residents and their representatives through the financial aspects of skilled nursing care, with primary responsibility for Medicaid eligibility, applications, renewals, billing coordination, and account follow-up. This role serves as a primary point of contact for residents, family members, responsible parties, community partners, and internal departments; explains financial obligations clearly; gathers and verifies required documentation; and helps ensure accurate, timely reimbursement in accordance with facility policies and applicable requirements.

Essential Duties and Responsibilities

• Serve as the primary financial contact for residents, family members, responsible parties, referral partners, and other authorized representatives.
• Interview residents or representatives to evaluate payer sources, financial resources, and potential Medicaid eligibility.
• Explain Medicaid application requirements, resident liability, patient-pay amounts, spend-down obligations, covered services, and other financial responsibilities in clear, respectful language.
• Prepare, submit, and track Medicaid applications, redeterminations, renewals, conversions, and changes in eligibility status.
• Collect, review, and organize financial, identity, residency, income, asset, insurance, and authorization documents required to support eligibility and billing.
• Follow up with residents, representatives, case workers, eligibility offices, insurers, and other parties to resolve missing information or application delays.
• Monitor pending Medicaid accounts and maintain accurate status notes, deadlines, correspondence, approvals, denials, and appeal documentation.
• Coordinate with admissions, social services, nursing, business office, therapy, and billing teams to support accurate payer setup and uninterrupted claims processing.
• Review account balances, remittances, denials, eligibility dates, authorizations, and payer changes; escalates discrepancies and support timely corrections or rebilling.
• Weekly Medicaid billing and posting, resident statements, collections follow-up, and account reconciliation as assigned.
• Identify potential coverage gaps and help develop timely resolution plans.
• Protect resident confidentiality and handle financial and health information in accordance with privacy, security, and facility requirements.
• Participate in audits, account reviews, and month-end activities.
• Perform other related duties as assigned.