Medicaid Coordinator/AR

Job Summary

We are seeking a detail-oriented and proactive

Medicaid Coordinator / Accounts Receivable Specialist to manage the Medicaid billing process and oversee account reconciliation. The ideal candidate will ensure timely and accurate submission of Medicaid claims, track payments, and resolve billing issues to optimize revenue cycle performance.

Key Responsibilities

Medicaid Coordination

• Prepare, submit, and track all Medicaid claims in accordance with state and federal regulations.
• Ensure resident eligibility and coverage for Medicaid benefits.
• Collaborate with social workers, case managers, and admissions teams to support the Medicaid application process.
• Follow up with state agencies and families regarding pending applications and documentation requirements.
• Maintain up-to-date knowledge of Medicaid rules, guidelines, and updates.

Accounts Receivable

• Monitor and manage AR aging reports, focusing on Medicaid and other third-party payers.
• Reconcile discrepancies in claims, payments, and account balances.
• Post payments, adjustments, and denials accurately into the billing system.
• Identify and escalate unpaid or problematic accounts as needed.
• Assist with month-end closing and reporting tasks.

Qualifications

• High school diploma or equivalent (Associate’s or Bachelor’s in Business, Accounting, or related field preferred).
• 2+ years of experience in Medicaid billing and accounts receivable, preferably in a healthcare or long-term care setting.
• Strong understanding of Medicaid eligibility and billing procedures.
• Proficiency with billing software (e.g., PointClickCare, MatrixCare, or similar) and Microsoft Excel.
• Excellent attention to detail and problem-solving skills.
• Ability to work independently and manage multiple priorities.

Work Environment

• Office-based role with standard working hours (Monday - Friday, 9:00 AM - 5:00 PM).

Benefits

• Health, dental, insurance
• 401(k)
• PTO