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