Medicaid Specialist

A Great Place to Work

Riverside is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team!

Business Office / AR2 / Medicaid Specialist

40 hour position

The position is responsible to support the Business Office in processing Medicaid Pending Applications, Applied Income discrepancies and Back Up to Resident Trust

Recommended Minimum Position Qualifications

1 year experience in LTC Medicaid

1-3 years of billing and collections in a long term care setting or other healthcare environment

The ability to handle multiple priorities and possess strong communication skills.

Excellent organization skills

General Knowledge of Medicare, Medicaid, Pending, Applied Income and Managed Care billing

Good working knowledge of Excel, Word, Outlook, Electronic Claim Submission, and Billing Software programs

Essential Duties and Responsibilities

Process and assist with processing of Medicaid applications

Collect Applied Income and Private Balances including advanced monthly billing and follow up

Resolve discrepancies in Applied Income

Scanning of all Medicaid documents in PCC

Attend weekly AR meeting with Administrator to review cases

Prepare and post daily deposits for Resident Trust Account

Attend 72 hour meetings to go over requirements of applied income and Medicaid for any resident admitted (ie : offer QMB or LTC when applicable)

Managed Care Claims ( follow up; appeals etc to ensure payment)

Managed Care Copay billing to private, insurance and Medicaid

Other duties as directed by Business Office Manager

Our candidate should be a team player to work with the Business Office Manager and other facility team members to ensure the facility is successful in AR collections

#Tier1

What We Offer

As an affiliate of National Health Care, our Riverside team enjoys :

Competitive compensation and benefits package including a 10% defined contribution retirement plan

Comprehensive training and mentorship

Opportunities for professional growth and development

Supportive and collaborative work environment

The chance to make a meaningful difference in the lives of our residents

What You'll Bring :

Qualifications of a Medicaid Specialist include :

1 year processing Medicaid applications and billing in a Long-Term Care setting

Familiarity with healthcare billing practices, regulations, and relevant software applications (e.g. billing systems, electronic medical records)

Excellent interpersonal and communication skills

Proficient in using office equipment and computer applications (Microsoft Excel, Word, Outlook)

Deadline driven, detail-oriented individual able to handle multiple priorities

Ability to work effectively in a fast-paced, team environment

We Hire for Heart!

National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National's centers are unique but share common values : Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named "Best Of" by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.

ID 2025-4820

Location / Org Data : Name Riverside Health & Rehabilitation Center

Category Accounting / Finance

Position Type Full-Time