Responsible for billing, collections, and account maintenance for a skilled nursing facility. This role supports the business office by ensuring accurate and compliant billing operations, maintaining resident financial records, and coordinating with internal teams and external agencies to resolve denials and reimbursement issues.
Key responsibilities include preparing and submitting paper and electronic claims, posting payments, maintaining resident trust funds, updating census records, assisting with Medicare and Medicaid paperwork, producing accounts receivable and revenue reports, and supporting month-end reconciliation and cost reporting. The position also helps ensure compliance with federal, state, local, and tribal requirements related to long-term care reimbursement and resident financial records.
Qualifications
- Associate degree in Business Office Management, Accounting, or related field preferred
- In lieu of education, 10+ years of experience with Medicaid required
- Extensive knowledge of North Carolina Medicaid programs and processes
- Demonstrated experience working with County DSS Medicaid programs, including eligibility, application processes, case coordination, and related regulations
- Specialized knowledge and training in Medicaid long-term care eligibility and application processes
- Training in transfer of assets and related Medicaid eligibility requirements
- Training in NC Medicaid Managed Care and Long-Term Care programs
- Training in EBCI Tribal Option, tribal membership, and managed care
- Experience with long-term care Medicaid applications and documentation requirements
- Ability to apply complex Medicaid eligibility rules involving assets, managed care, and tribal options
- Computer proficiency in Word, Excel, and PowerPoint preferred
- Ability to maintain accuracy, organization, confidentiality, and professionalism
Physical and work environment requirements
- Office-based role with some driving required
- Ability to sit, stand, walk, key data for extended periods, and occasionally lift up to 20 pounds
Location
North Carolina, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago