Medicaid Billing Coordinator

Job Summary

Gurwin Healthcare System is seeking a Medicaid Billing Coordinator. The position is based at the 460-bed Gurwin Jewish Nursing & Rehabilitation Center in Commack, NY, which includes various healthcare facilities and services.

Education and Experience Requirements

• High School Diploma
• Minimum of 2 years SNF or DDS experience required
• Familiarity with NY Medicaid / Hospice billing & NAMI processing
• Knowledge of ePaces in verifying eligibility, claims submissions, adjustments, and void claims
• Knowledge of Excel and Point Click Care helpful

Job Responsibilities

• Daily census review and reconciliation with timely and accurate submission of weekly Medicaid billing for SNF and Daycare Programs and monthly billing for Medicaid Hospice
• Process and submit electronic claims files on a weekly basis for all nursing home Medicaid residents
• Process and reconcile electronic weekly Medicaid remittances, investigate denials and maintain on-going listing and follow-up performed with appropriate remedies documented and reviewed with supervisor weekly
• Communicate and work with Medicaid unit regarding billing / Nami issues
• Advise prospective resident family members regarding Medicare and Medicaid regulations and facility policies
• Process and submit electronic and/or paper claims for all Adult Day Care Registrants on a weekly basis for traditional Medicaid and monthly basis for MLTC Registrants
• Visits non-authorized or expired authorizations and notifies ADC timely so authorizations can be obtained
• Review accuracy of payments to ensure the highest level of reimbursement is obtained. Make corrections as needed and file an Adjustment Bill and rebill for maximum benefit
• Process Electronic Rebills and Manual Adjustments in a timely and efficient manner
• Advise Private/NAMI biller of any financial class changes or rebilling required as a result of a Budget change
• Set up new Hospice residents in billing system and maintain a Hospice List for each billing cycle
• Keep informed of any changes in Medicaid regulations and their impact on skilled nursing facilities
• Aid in covering other financial staff members during absences (i.e.: vacations, sickness, etc.)
• Perform other duties as assigned

Benefits

• Adequate Salary
• Dynamic Work Environment
• Comprehensive Benefits Package
• Medical Insurance (Anthem Blue Cross Blue Shield)
• Dental Insurance through MetLife
• Vision Insurance through Anthem Blue Cross Blue Shield (EyeMed)
• Accrued holiday/personal and vacation time; payout for unused sick time for those who qualify
• Flexible Spending Account - Medical and/or Dependent Care
• Long term disability Insurance for those who qualify (no cost to employee)
• Life Insurance - value is equal to employee’s annual salary (no cost to employee)
• National Employee Assistance Program (no cost to employee)
• Childcare, membership and program discounts at Suffolk YJCC, Commack and Mid-Island YJCC, Plainview
• Tax deferred annuity plan - employee automatically enrolled with 3% contribution / employer contributes 4% after one year of service (graded vesting)
• Tuition Reimbursement up to $5,000 per year
• Sign-on bonus for specified clinical positions
• Employee Referral Bonus for specified clinical positions
• Starbuck’s café on-site
• Staff cafeteria with subsidized pricing
• Meals, treats and other theme related staff events
• Other discounts and added value for employees from outside corporations including BJs membership discount, FourLeaf FCU savings perks, Plum Benefits Entertainment discounts and more!