Business Office Coordinator/Medicaid Coordinator

Oversees and evaluates business office operations, partnering with Admissions to ensure agreement execution. Ensures compliance with professional standards, policies, federal, state, local, and DOH regulations. Maintains HIPAA privacy, security, and confidentiality. Completes all Health Center billing, including HMO and Medicare. Collaborates with the team on treatment plans and financial status updates. Monitors amended contracts and billing rates.Verifies Medicare days used and participates in monthly Medicare Part A & B claim audits. Engages in quarterly compliance meetings to ensure billing adheres to federal and state guidelines. Reconciles census monthly and coordinates billing with ancillary providers. Maintains organized Medicare and payment documentation.

• Input accurate billing codes for all patient services and procedures.
• Verify patient insurance details before and during admission process.
• Confirm prior authorizations, holds, and manage accounts receivable.
• Enter patient demographics, insurance info, procedures, and payments.
• Resolve billing inquiries from residents; adjust accounts as needed.
• Submit Medicare/insurance claims timely; follow up on outstanding bills.
• Communicate with insurance reps to ensure claim processing accuracy.

• Business Office Coordinator experience in a Skilled Nursing Facility or healthcare field is REQUIRED.
• Proficiency in Microsoft Word and Excel.
• Ability to learn multiple Account Receivables Software.
• Able to interact professionally with residents, families, staff and other business providers.