Bus Off Medicaid Specialist

Business Office Medicaid Specialist

The Business Office Medicaid Specialist plays a crucial role in supporting the financial operations of the organization, specifically focusing on Medicaid and compliance. This position is responsible for assisting the Business Office Manager in overseeing the daily operations of the business office, ensuring accurate and timely processing of Medicaid applications, managing resident accounts, and maintaining compliance with federal and state regulations. Salary range : minimum $22.00 to maximum $29.00.

Key responsibilities : The ideal candidate will possess a strong understanding of Medicaid policies and procedures, excellent organizational skills, and a commitment to providing exceptional service to residents and their families.

• Prepare and submit Medicaid applications in a timely manner, ensuring compliance with all relevant regulations and guidelines.
• Review and verify the accuracy of all Medicaid documentation, including resident eligibility and financial status.
• Monitor and follow up on outstanding Medicaid cases and denials, working diligently to resolve any issues that may arise.
• Assist in the management of resident private pay accounts, including billing, collections, and financial reporting.
• Ensure compliance with Medicaid regulations and guidelines, maintain up-to-date knowledge of changes in policies and procedures.
• Assist in internal and external audits related to Medicaid, resident trust accounts and financial operations, providing necessary documentation and insights.
• Participate in training sessions related to compliance and regulatory changes impacting the organization.
• Serve as a point of contact for residents and families regarding Medicaid and collections related inquiries, providing clear and accurate information.
• Collaborate with interdisciplinary teams to address resident financial needs and concerns, ensuring a high standard of service.
• Foster positive relationships with residents, families and staff, promoting a culture of respect and compassion.
• Maintain accurate and organized records related to Medicaid, collections and resident accounts.
• Other duties as assigned.

Knowledge, skills, abilities :

Minimum education required : High School diploma or equivalent required.

Minimum experience required : Two (2) to four (4) years' experience in Skilled Nursing Healthcare or related field required.

Minimum licensure / certification required by law : None.

Additional qualifications : (Preferred qualifications) Associate's degree preferred Billing and Financial Experience preferred.

Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference. We are eager to connect with you! Apply now to get started at PruittHealth! As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.