Resident Account Specialist-Medicaid

Resident Account Specialist - Medicaid Daughters of Sarah Community for Seniors Albany, NY Area From $25.35 per hour Make a meaningful impact behind the scenes of resident care. At Daughters of Sarah Community for Seniors we're dedicated to providing compassionate, high-quality care to older adults. We're looking for an experienced Resident Account Specialist - Medicaid to play a critical role in ensuring accurate billing, supporting residents and families, and navigating the complexities of Medicaid and Managed Long-Term Care (MLTC). If you're detail-oriented, knowledgeable in Medicaid billing, and passionate about supporting seniors and their families, we'd love to hear from you. What You'll Do In this key role, you'll manage and oversee Medicaid billing operations while serving as a trusted resource for residents, families, and external partners.

Core Responsibilities:

Process weekly Medicaid billing and patient statements with accuracy and timeliness Manage MLTC and Fee-for-Service billing , ensuring compliance with payer contracts and regulations Serve as the United Healthcare I-SNP liaison for enrollment updates and insurance inquiries Track and maintain authorizations, eligibility, and payer updates Oversee Medicaid pending accounts , working with families, county offices, and attorneys to expedite approvals Complete Medicaid recertifications and manage NAMI (Net Available Monthly Income) updates Maintain accurate resident financial records, including census and payer changes Respond to billing inquiries from residents and families with professionalism and care Monitor accounts receivable and support collections activity when needed Collaborate with leadership (CFO, Supervisor) to resolve issues and improve processes What You Bring Associate degree required; Bachelor's degree preferred (or equivalent experience) 3+ years of experience in healthcare billing , with a strong focus on Medicaid and UB04 claims Working knowledge of MLTC, Medicaid regulations, and insurance billing systems Strong analytical skills and attention to detail Excellent communication and interpersonal skills Ability to work collaboratively and handle sensitive situations with empathy Why Join Us?

Competitive hourly pay:

from $25.35 , based on experience Be part of a mission-driven organization serving older adults Work in a collaborative, supportive team environment Make a real difference in the lives of residents and their families Opportunities to contribute ideas and improve processes

Position Details FLSA Status:

Non-Exempt Work Environment:

Office setting

Physical Requirements:

Ability to lift up to 20 lbs What Success Looks Like Accurate, timely billing with minimal errors Strong relationships with residents, families, and external agencies Efficient management of Medicaid processes and pending accounts Proactive problem-solving and process improvements Apply Today If you're ready to bring your Medicaid expertise to a role where your work truly matters, apply now to join the Daughters of Sarah team.

Pay:

From $25.35 per hour

Benefits:

Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Referral program Retirement plan Tuition reimbursement Vision insurance

Work Location:

In person