Regional Medicaid Specialist

The Regional Medicaid Specialist is a key leadership role within our skilled nursing facility region, responsible for managing all business office operations.

This position ensures the efficient financial and administrative functioning of the facility, including overseeing business office staff, managing revenue cycles, and ensuring compliance with all applicable regulations.

Responsible To:


* Administrator, Regional VP or Regional Accountant

Qualifications:


* The ideal candidate will demonstrate exceptional organizational, analytical, and leadership skills, with a strong understanding of healthcare financial operations and commitment to providing outstanding service to residents and their families.


* Bachelor's degree in Business Administration, Accounting, or related field preferred; equivalent experience may be considered.


* Minimum of three (3) years experience in a healthcare setting or business officer preferred.

Skills and Competencies:


* Strong knowledge of healthcare billing systems, accounts receivable, and accounts payable processes.


* Proficiency in payroll systems and bank reconciliation procedures.


* Familiarity with patient trust account management and related regulatory requirements.


* Excellent leadership, organizational, and problem-solving skills.


* Effective communication and interpersonal skills.


* Proficiency in Microsoft Officer Suite and financial software systems.

Duties and Responsibilities:

Leadership and Management:


* Supervise and provide direction to business officer partners, ensuring productivity and adherence to facility policies.


* Conduct regular partner coaching and feedback to maintain a high-performing team.

Financial Operations:


* Oversee revenue cycle processes, including timely and accurate billing and revenue recognition.


* Perform daily reconciliation of census and accurate pay source maintenance and billing set up within the electronic health record.


* Ensure prompt collection of accounts receivable, including private pay, Medicare , Medicaid, and insurance payments.


* Manage accounts Payable, ensuring timely and accurate processing of invoices and payments.

Payroll Administration


* Oversee the updated and processing of payroll, ensuring compliance with facility policies and regulatory requirements.


* Address payroll discrepancies and employee inquiries promptly and professionally.

Bank Reconciliations


* Perform monthly reconciliation of bank balances and accounts, ensuring accuracy and resolving discrepancies.

Patient Trust Accounts


* Manage patient trust bank accounts in accordance with regulatory guidelines, ensuring proper documentation and security funds.


* Provide regular account updates to residents and families as needed.

Collaboration


* Work closely with the Administrator, clinical staff, and other departments to support the overall mission and goals of the facility.


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