BOM

Key Responsibilities

• Manage all payer setup and changes for new and existing residents
• Cook with Admissions and families to ensure timely Medicaid applications
• Maintain organized and up-to-date financial files for all residents
• Submit RFMS authorizations and open accounts for Medicaid or Medicaid-pending residents
• Apply for representative payee status with Social Security or process address changes as needed
• Ensure complete and accurate responsible party contact info in PointClickCare
• Prepare and scan all deposits
• Notify Corporate Office of any Medicaid-related updates (admissions, discharges, income/payer changes)
• Conduct monthly Medicare and Medicaid eligibility verifications for all residents
• Perform weekly collection calls for private pay, resident liability, and other outstanding balances
• Document collection activity thoroughly in the EMR under the Collections tab
• Complete Medicaid redeterminations and manage re-authorizations for Managed Medicaid
• Maintain an up-to-date Medicaid Pending Report
• Attend Medicare meetings and review coverage and days using eligibility reports

Requirements

• Minimum 1 year of experience in business office operations (skilled nursing or healthcare preferred)
• Strong understanding of Medicaid/Medicare processes
• Excellent organizational and communication skills
• Familiarity with PointClickCare or similar EMR systems is a plus
• Able to manage multiple priorities in a fast-paced environment