This role serves as a key liaison between residents, families, internal departments, and external agencies to ensure accurate financial processing, regulatory compliance, and a smooth resident financial experience.
Key Responsibilities
- Conduct comprehensive financial intake meetings with residents and family members related to Medicaid eligibility and long-term care coverage.
- Guide residents and responsible parties through documentation requirements and ongoing financial responsibilities during the Medicaid application and approval process.
- Track and maintain Medicaid-approved and Medicaid-pending resident data using internal reporting tools.
- Prepare and distribute recurring Medicaid status and pending eligibility reports for leadership review.
- Coordinate resident income collection and facilitate enrollment in electronic payment and direct deposit systems.
- Act as the primary point of contact with county Boards of Social Services and other regulatory agencies.
- Request and review updated financial documentation from residents or responsible parties on an annual basis or as required.
- Process daily cash receipts and assist with accounts payable entries for assigned facilities.
- Provide support in reviewing expense documentation, payroll reports, and related financial records.
- Respond to resident, family, and employee inquiries regarding billing statements, trust balances, and payroll-related questions.
- Manage resident trust accounts in accordance with New Jersey state regulations and federal long-term care guidelines.
- Maintain accurate, confidential financial records in compliance with HIPAA and data privacy standards.
- Assist with internal audits, compliance reviews, and process improvement initiatives within the business office.
- Collaborate with interdisciplinary teams to ensure financial processes align with resident care and operational goals.
- Review of AR Aging
- Holding monthly meetings with business office and administrators
- Ensure accurate census setup and payer trees
- Generating and sending private statements via mail and email
- Follow up on outstanding private balances
- Inviting residents and families to CareFeed portal
- Requesting representative payee for all medicaid residents
- Obtaining updated financial information for private residents on an annual basis
- Direct debit from QIT via RFMS
- Setting up payment plans and ensuring compliance
- Fielding and responding to billing inquiries
Compliance & Confidentiality Responsibility
- Ensure strict adherence to HIPAA, state, and federal confidentiality regulations by safeguarding all resident financial and personal health information.
- Properly store, access, and transmit sensitive data in accordance with facility policies and regulatory requirements
Job Type: Full-time
Pay: From $65,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Skilled nursing facility: 1 year (Required)
- Medicaid: 1 year (Required)
Work Location: In person
