SNF Medicaid Billing Specialist

COMMUNITY PHARMACY; Lincolnwood (IL); On-site; USD 60,000 - 85,000; Full time

Job summary

COMMUNITY PHARMACY is seeking a Medicaid Specialist to support SNFs by ensuring accurate Medicaid billing and resolving reimbursement issues. The role focuses on complex eligibility, applications, redeterminations, and admit packs while collaborating with facility teams to drive favorable financial outcomes.

The ideal candidate has deep Medicaid experience in long‑term care, strong analytical skills, and excellent communication with residents, families, and staff.

Qualifications

• Experience with Medicaid billing, preferably in a skilled nursing or long‑term care environment.
• Strong understanding of Medicaid eligibility, authorization, and claims processes.
• Ability to analyze account discrepancies and resolve complex billing issues.
• Excellent communication skills with facility staff, residents, and families.
• High attention to detail and strong organizational skills.
• Proficiency with billing systems and electronic documentation tools.

Responsibilities

• Manage and resolve complex Medicaid cases for SNF facilities
• Track Medicaid applications, approvals, redeterminations, and admit packs.
• Assist facilities with Medicaid applications, redeterminations, and admit packs.
• Communicate with residents or families regarding Medicaid documentation or application needs
• Document payer activity and follow‑up using company‑approved systems
• Collaborate closely with Business Office Managers on admit packs and pending applications
• Conduct monthly reviews with the Business Office Manager and Regional Business Office Mangers
• Prepare account write‑offs when collection efforts are exhausted

Skills

Billing systems

Medicaid billing

Medicaid eligibility

Communication skills

Attention to detail

Organizational skills

Job description

COMMUNITY PHARMACY is seeking a Medicaid Specialist to support SNFs by ensuring accurate Medicaid billing and resolving reimbursement issues. The role focuses on complex eligibility, applications, redeterminations, and admit packs while collaborating with facility teams to drive favorable financial outcomes.

The ideal candidate has deep Medicaid experience in long‑term care, strong analytical skills, and excellent communication with residents, families, and staff.