Demo

Medicaid Coordinator/ Biller

Cold Spring Hills Center for Nursing and...
Woodbury, NY Full Time
POSTED ON 3/26/2025
AVAILABLE BEFORE 5/26/2025

A New Cold Spring Hills is coming. Cold Spring Hills, a Long-Term Care facility in Nassau County, seeks a Medicaid Coordinator/ Biller to join our team. In this position, you will be an integral member of the financial team and the main point of contact for Resident accounts.

Responsibilities include

  • Processing of Medicaid applications and recertifications.
  • Meet with the residents and/or resident representatives to review and advise on documents needed to process the Medicaid application.
  • Meet with Management to review aging and resident account profiles
  • Follow up with the necessary parties to collect unpaid claims
  • Strong knowledge of NYS Medicaid/Medicare regulations.
  • Represent the facility at fair hearings and guardianship proceedings.
  • Provide reports to management as requested.
  • Follow up on requests for documentation and with the Department of Social Services for application status
  • Maintain Resident Trust Accounts
  • Manage and process Medicare/Medicaid and Commercial insurance bills following state and federal guidelines.

Qualifications

  • Must possess the ability to develop both internal and external relations to obtain needed documentation.
  • Experience in Medicaid/Medicare/Commercial Insurance Billing
  • Strong leadership, problem-solving, verbal, written communication, and strong follow-up and organizational skills.
  • Proficiency in MS Office and strong computer skills are required.
  • Ability to interact with outside agencies/law firms

Work Environment & Schedule:

  • Some local travel required

  • 8-hour shift, primarily days.

  • Work Location: On Site

We offer a competitive benefits package including paid vacation, sick, and personal time.

Equal opportunity employer

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