What are the responsibilities and job description for the Healthcare Business Office Manager / Medicaid Coordinator position at Claremont Nursing & Rehabilitation Center?
Claremont Nursing & Rehabilitation Center is seeking a dynamic and experienced professional to join our team as a Medicaid Coordinator / Business Office Manager . This dual leadership role involves overseeing both the Medicaid coordination process and the facility business office operations. The ideal candidate will have a strong background in Medicaid eligibility determination, coupled with excellent leadership and management skills to effectively oversee the business office functions.
Responsibilities :
- 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.
- Collaborate with Medicaid Managed Care organizations to enroll residents and manage their Medicaid benefits effectively.
- Maintain accurate records of Medicaid applications, approvals, and denials, as well as billing and reimbursement activities.
- Prepare reports and assist in conducting internal audits to monitor compliance and identify areas for improvement.
Qualifications :
