Business Office Manager/Medicaid Specialist - Towson Rehabilitation and Healthcare Center

We are seeking a dynamic and experienced professional to join our team as a Business Office Manager/Medicaid Specialist at our Nursing Home facility At Atlas- Towson. This dual role involves overseeing both the Medicaid coordination process and the business office operations. The ideal candidate will have a strong background in Medicaid eligibility determination, billing, and reimbursement, coupled with excellent leadership and management skills to effectively oversee the business office functions. 

Responsibilities: 

• Medicaid Application Management: 

• Guide residents and their families through the Medicaid application process, ensuring accuracy and completeness of all required documentation. 

• Coordinate with residents, families, and Medicaid offices to expedite the processing of applications and address any issues or concerns. 

• Conduct comprehensive assessments of residents' financial status to determine Medicaid eligibility, adhering to state and federal regulations. 

• Monitor Medicaid reimbursements and work to resolve any billing discrepancies or denials promptly. 

• Collaborate with Medicaid Managed Care organizations to enroll residents and manage their Medicaid benefits effectively. 

• Business Office Management: 

• Ensure compliance with financial policies, procedures, and regulations governing Medicaid billing and reimbursement. 

• Develop and implement strategies to optimize revenue cycle management and maximize financial performance. 

• Compliance and Reporting: 

• Maintain accurate records of Medicaid applications, approvals, and denials,  

• Ensure compliance with all federal, state, and local regulations pertaining to Medicaid eligibility, billing, and reimbursement. 

• Prepare reports and assist in conducting internal audits to monitor compliance and identify areas for improvement. 

Qualifications: 

• Minimum of 2 years of experience in Medicaid coordination, billing, and reimbursement, preferably in a healthcare or long-term care setting. 

• Strong knowledge of Medicaid regulations, policies, and procedures,  

• Proven leadership and management skills, with the ability to motivate and develop a team. 

• Excellent communication, interpersonal, and problem-solving skills. 

• Proficiency in Microsoft Office Suite and Medicaid management software.