medicaid market manager

The Groves

<div>Job Title: Medicaid Specialist &ndash; Long-Term Care Facilities

About Us: 
We are a skilled nursing and rehabilitation facility committed to delivering exceptional care to our residents. We&rsquo;re looking for a detail-oriented and knowledgeable Medicaid Specialist to join our business office.

Position Overview: 
The Medicaid Specialist plays a critical role in supporting the financial and administrative functions of our facility. This position will focus on managing Missouri Medicaid applications, redeterminations, and compliance for long-term care residents. It is ideal for someone with experience in a Business Office Manager or Assistant BOM role who has a strong background in Medicaid processes.

Key Responsibilities:
<ul>
<li>Oversee and manage all aspects of the Missouri Medicaid application and approval process
</li>
<li>Assist residents and families in gathering and submitting required documentation
</li>
<li>Monitor Medicaid redetermination timelines and ensure continued coverage
</li>
<li>Collaborate with the business office manager and admissions team to verify payor sources and maintain accurate records
</li>
<li>Communicate effectively with DSS caseworkers, legal representatives, and residents&rsquo; families
</li>
<li>Maintain compliance with state and federal regulations
</li>
</ul>Qualifications:
<ul>
<li>Previous experience in a long-term care facility business office required
</li>
<li>Strong knowledge of Missouri Medicaid regulations and LTC eligibility requirements
</li>
<li>Excellent communication, organization, and follow-up skills
</li>
<li>Ability to work independently and as part of a team
</li>
<li>Proficiency in Microsoft Office and electronic health record systems
</li>
</ul>BOM &ndash; Business Office Manager Benefits:
<ul>
<li>Competitive salary
</li>
<li>Great work environment
</li>
<li>Medical, Dental &amp; Vision Benefits
</li>
<li>Vacation, Sick &amp; Holiday Pay</li></ul></div>

Billing Assistant BOM

Reclamation Center

About Reclamation CenterReclamation Center is a growing behavioral health organization providing outpatient psychiatric services and expanding treatment programs. We are committed to delivering high-quality, compliant, patient-centered care while strategically growing our presence within the behavioral health and substance use treatment market.We are seeking a dynamic, strategic, and results-driven Business Development Manager to lead growth initiatives, establish referral partnerships, and expand our footprint across healthcare, community, and payer networks.Position OverviewThe Business Development Manager will be responsible for driving organizational growth through strategic partnerships, referral development, community outreach, and market expansion. This role requires strong knowledge of healthcare marketing, relationship management, payer networking, and behavioral health industry trends.The ideal candidate is proactive, relationship-oriented, data-driven, and capable of developing long-term growth strategies while producing measurable results.Key Responsibilities1. Strategic Growth &amp; Market Expansion<ul><li>Develop and execute a comprehensive business development plan aligned with organizational goals.</li><li>Identify new market opportunities within:</li><li>Behavioral health</li><li>Psychiatric outpatient services</li><li>Substance use treatment programs</li><li>Healthcare systems and provider networks</li><li>Analyze market trends, competitor activities, and service gaps to inform strategic planning.</li><li>Support expansion initiatives for new service lines and treatment programs.</li></ul>2. Referral Network Development<ul><li>Establish and maintain referral relationships with:</li><li>Hospitals and emergency departments</li><li>Primary care providers</li><li>Federally Qualified Health Centers (FQHCs)</li><li>Private practices</li><li>Community mental health agencies</li><li>Detox facilities and residential programs</li><li>Assisted living facilities and nursing homes</li><li>Conduct in-person and virtual outreach meetings.</li><li>Develop referral agreements and partnership contracts when applicable.</li><li>Track referral sources and conversion rates.</li></ul>3. Payer &amp; Community Relations<ul><li>Assist in strengthening relationships with:</li><li>Medicaid managed care organizations</li><li>Commercial insurance providers</li><li>Community agencies</li><li>Represent Reclamation Center at community events, health fairs, and professional networking forums.</li><li>Promote services in compliance with healthcare marketing regulations.</li><li>Maintain awareness of Florida Medicaid, AHCA, and DCF regulations impacting service growth.</li></ul>4. Sales &amp; Revenue Development<ul><li>Lead negotiations and close partnership agreements.</li><li>Prepare and present proposals tailored to potential partners.</li><li>Collaborate with leadership to set growth targets and revenue goals.</li><li>Develop pipelines and track sales performance metrics.</li><li>Identify grant opportunities and strategic collaborations to support expansion.</li></ul>5. Marketing Collaboration<ul><li>Work closely with marketing to:</li><li>Develop targeted outreach campaigns</li><li>Enhance digital presence</li><li>Optimize lead generation strategies</li><li>Provide feedback on branding, messaging, and competitive positioning.</li><li>Ensure all marketing materials are compliant with healthcare regulations.</li></ul>6. CRM &amp; Data Management<ul><li>Utilize CRM systems (e.g., Salesforce or similar) to:</li><li>Track leads</li><li>Document outreach efforts</li><li>Monitor referral patterns</li><li>Analyze performance data</li><li>Prepare detailed reports on business development activities and outcomes.</li><li>Use analytics to guide data-driven decision-making.</li></ul>7. Cross-Functional Coordination<ul><li>Collaborate with:</li><li>Clinical leadership</li><li>Operations team</li><li>Admissions/intake staff</li><li>Finance department</li><li>Ensure smooth onboarding of new referral partners.</li><li>Align growth initiatives with operational capacity.</li></ul>QualificationsRequired Education &amp; Experience<ul><li>Bachelor&rsquo;s degree in Business Administration, Healthcare Administration, Marketing, or related field (Master&rsquo;s preferred).</li><li>Minimum 3&ndash;5 years experience in business development, healthcare sales, or behavioral health outreach.</li><li>Proven track record of achieving growth targets.</li><li>Experience working in healthcare, mental health, or substance use treatment settings strongly preferred.</li></ul>Preferred Experience<ul><li>Experience in behavioral health or addiction treatment marketing.</li><li>Familiarity with Florida healthcare systems and referral networks.</li><li>Understanding of Medicaid managed care structures.</li><li>Experience launching or expanding healthcare programs.</li></ul>Core Competencies<ul><li>Strong sales and negotiation skills</li><li>Strategic planning and execution ability</li><li>Proficiency in CRM software (Salesforce preferred)</li><li>Excellent written and verbal communication skills</li><li>Strong relationship-building capabilities</li><li>Analytical and data-driven decision-making skills</li><li>Ability to manage multiple initiatives simultaneously</li><li>Knowledge of healthcare compliance and marketing standards</li></ul>Performance Expectations<ul><li>Meet or exceed referral growth targets.</li><li>Establish measurable increases in strategic partnerships.</li><li>Maintain accurate CRM tracking and reporting.</li><li>Demonstrate ROI on outreach and marketing initiatives.</li><li>Contribute to long-term strategic growth planning.</li></ul>Work Environment<ul><li>Combination of office-based work and community outreach.</li><li>Local travel required for meetings and networking.</li><li>Occasional attendance at industry events.</li></ul>What We Offer<ul><li>Competitive salary (based on experience)</li><li>Performance-based incentive opportunities</li><li>Leadership involvement in strategic planning</li><li>Growth opportunities within expanding treatment programs</li><li>Collaborative and mission-driven culture</li></ul>Pay: $30.00 - $40.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: Hybrid remote in Fort Lauderdale, FL 33309

Business Development Manager

iCare Health Network

<div>Parkville Care Center is seeking a full-time Medicaid/Resident Trust Bookkeeper to join our Business Office. This role manages accounts receivable functions in compliance with facility policies and applicable long-term care regulations, with a focus on Medicaid billing and resident trust accounts. The Bookkeeper ensures accurate, timely resident billing and maintains strict confidentiality.<h2 class="jobSectionHeader">
Job Responsibilities</h2><ul><li>
Follow established policies and procedures for accounts receivable bookkeeping.</li><li>
Maintain, update, and monitor computer ledgers.</li><li>
Support the Business Office Manager with day-to-day office functions.</li><li>
Compile and update ancillary information by payor type, date, and service type.</li><li>
Prepare and submit Medicaid claims; monitor payments and follow up as needed.</li><li>
Reconcile accounts and prepare adjustments.</li><li>
Process the daily census accurately and in a timely manner.</li><li>
Follow-up timely on Medicaid applications/redeterminations to maintain eligibility.</li><li>
Manage and reconcile resident trust accounts daily.</li></ul><h2 class="jobSectionHeader">
Qualifications &amp; Skills</h2><ul><li>
Knowledge of skilled nursing facility Medicaid accounts receivable processes and resident trust workflows.</li><li>
Working knowledge of Word, Outlook, Excel, PCC, and RFMS (experience preferred).</li><li>
Ability to manage multiple priorities and collaborate effectively across disciplines in a multicultural environment.</li><li>
Strong written and verbal communication skills.</li></ul>
Ability to speak and write in English 
Compensation &amp; Benefits<ul><li>Generous salary, commensurate with experience</li><li>Benefits program, includes health, dental, and vision insurance</li><li>Paid Time Off, including vacation, personal, and sick time</li><li>401(k) Retirement program with matching</li><li>Short and Long-term disability insurance</li><li>Collaborative work environment</li></ul> 
INDLP</div>

Boookkeeper

CAPTAIN Youth and Family Services

Job Title: 1115 Waiver Case Manager (Full Time, Non-Exempt)Job Summary:The Case Manager will deliver services per the Momentum grant requirements for individuals who have Medicaid coverage under the 1115 Waiver. Services will include screening, navigation and linkages for health-related social needs. The Case Manager will coordinate transportation services for eligible clients with agency van and drivers. The Case Manager will complete all documentation, including eligibility, social care plans, and billing requirements ensuring the agency&rsquo;s compliance with Medicaid standards.Duties and Responsibilities:<ul><li>Complete Health Related Social Needs (HRSN) screenings to assess clients HRSNs.</li><li>Receive incoming referrals from both internal sources and Unite Us for screening and navigation to assess client HRSNs.</li><li>Eligibility assessment with clients to determine the level of enhanced HRSN services.</li><li>Assist clients that have qualifying HRSNs with coordinating them to the proper Social Care Navigator.</li><li>Provide follow-up support as needed.</li><li>Coordinate with eligible clients to set up transportation needs.</li><li>Manage transportation staff (managing the calendar, setting up transportation and communicating with the drivers).</li><li>Develop individual service or care plans.</li><li>Manage documentation of services in all required databases in a clear, accurate and timely manner.</li><li>Track outcomes, document progress, and ensure data collection complies with Medicaid reporting standards.</li><li>Ensuring the confidentiality of all case information, and the security of all digital communications.</li><li>Complete all reports in a timely manner.</li><li>Complete all required trainings per Agency and Healthy Alliance standards in a timely manner.</li><li>Complete and maintain a &ldquo;how to&rdquo; guide of daily responsibilities.</li><li>General front desk and office coverage, on an as needed basis</li><li>Complete and document required job-related training.</li><li>Perform other related work as assigned.</li></ul>Skills Required:<ul><li>Ability to work with all ages and income levels and be a dedicated client advocate.</li><li>Knowledge of community resources.</li><li>Able to multi-task and work in a team environment.</li><li>Solid working knowledge of Microsoft Office products</li></ul>Qualifications:<ul><li>Bachelor&rsquo;s (preferred) or Associate&rsquo;s degree from an accredited college or university in human services, counseling, education or related field.</li><li>Case management and Medicaid billable service provision preferred.</li><li>Must possess a valid NYS Driver&rsquo;s License with driving record acceptable to Agency insurance standards and provide evidence of appropriate vehicle insurance coverage.</li><li>Ability to lift at least 30 lbs.</li></ul>Telecommuting and Remote Work: The primary functions of this position require in-office and in-community services. Occasionally, project assignments could be accomplished remotely with supervisor permission.Employer Disclaimer:<ul><li>Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by their direct supervisor.</li><li>This job description does not create an employment contract, implied or other than an &ldquo;at will&rdquo; employment relationship.</li></ul>CAPTAIN CHS is proud to be an Equal Opportunity Employer (EOE).Job Type: Full-timePay: $23.08 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul>License/Certification:<ul><li>NY State Driver's License (Required)</li></ul>Work Location: In person

1115 Waiver Case Manager

FAMILY TIES, INC.

MUST HAVE MEDICAID &amp; MENTAL HEALTH BILLING EXPERIENCEAbout the RoleWe are seeking an experienced and highly organized Behavioral Health Billing Manager to join our growing team. This role is critical to ensuring accurate, compliant, and timely billing for behavioral health services. The ideal candidate is detail-oriented, proactive, and well-versed in Medicaid and Private insurance mental health billing, DBHDD policies and procedures, and provider credentialing.If you thrive in a fast-paced healthcare environment, enjoy problem-solving, and understand the importance of compliance in behavioral health services, this role is an excellent fit. This role goes beyond billing&mdash;it directly supports access to quality behavioral health care. You&rsquo;ll be part of a supportive, mission-driven team where your expertise ensures compliance, financial stability, and a smooth experience for both clients and providers. Your work truly makes a difference.Key ResponsibilitiesBilling &amp; Revenue Cycle Management<ul><li>Manage and maintain accurate, up-to-date client billing records</li><li>Review referrals, authorizations, and clinical documentation for billing compliance</li><li>Submit and track Medicaid and commercial insurance claims for mental health services</li><li>Ensure compliance with DBHDD, Medicaid, and payer-specific billing rules</li><li>Transfer and verify billing and insurance data with precision</li><li>Monitor accounts receivable and follow up on unpaid or denied claims</li><li>Investigate and resolve billing discrepancies and payment issues</li><li>Set up and manage payment plans when necessary</li><li>Send professional, timely payment reminders (friendly but firm)</li></ul>Insurance &amp; Compliance<ul><li>Verify insurance eligibility, benefits, and authorizations</li><li>Navigate Medicaid, HMOs, PPOs, and state-funded behavioral health programs</li><li>Stay current on DBHDD policies, Medicaid updates, and payer requirements</li><li>Serve as a point of contact for billing-related questions from clients and insurance companies</li></ul>Credentialing &amp; Provider Support<ul><li>Manageemployee and provider credentialing for Medicaid and other payers</li><li>Track credentialing and recredentialing timelines to ensure uninterrupted billing</li><li>Maintain organized credentialing files and documentation</li></ul>Required Qualifications<ul><li>Minimum 2+ years of Medicaid billing experience (REQUIRED)</li><li>Mental health / behavioral health billing experience (REQUIRED)</li><li>Strong knowledge of DBHDD policies and procedures (REQUIRED)</li><li>Experience with employee/provider credentialing (REQUIRED)</li><li>Bachelor&rsquo;s degree in Accounting, Healthcare Administration, Finance, Business, or related field (preferred)</li><li>Proficiency in Microsoft Office (Excel required); QuickBooks experience strongly preferred</li><li>Excellent multitasking, time management, and organizational skills</li><li>Ability to work independently and take initiative</li><li>Strong communication and customer service skills</li><li>Ability to clearly explain billing and insurance information to clients and payers</li><li>High attention to detail and strong problem-solving skills</li></ul>Benefits<ul><li>401(k)</li><li>Health Insurance</li><li>Dental Insurance</li><li>Vision Insurance</li><li>Paid Time Off</li><li>Referral Program</li></ul>Why Join Us? This is more than just numbers and spreadsheets&mdash;it&rsquo;s about helping people get the care they need, ensuring their billing experience is smooth, and making sure nothing falls through the cracks. You'll be part of a supportive team where your work truly matters.Job Type: Full-timePay: $45,000.00 - $50,000.00 per yearBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Referral program</li><li>Vision insurance</li></ul>Experience:<ul><li>Behavioral Health Billing : 2 years (Required)</li></ul>Ability to Commute:<ul><li>Atlanta, GA 30328 (Required)</li></ul>Work Location: Hybrid remote in Atlanta, GA 30328

Behavioral Health Billing Manager

Nexion Health, Inc.

Must have LTC/SNF experience with Medicare, Medicaid, and Managed Care!
 
Starting Rate: 
Pay based on experience
 
INDOTH
 
Nexion is a "Great Place to Work" because we provide: 
Free employee and family telehealth immediately upon hire
 
Medical / Dental / Vision Care
 
Early Pay
 
FSA / HSA / 401k
 
Educational Advancement
 
Scholarship for employees and dependents
 
Emergency Relief
 
Job Responsibilities
 
The Business Office Manager (BOM) is responsible to bill facility charges to the appropriate payor, collect outstanding Accounts Receivables, and oversee the resident trust fund in accordance with Nexion Corporate policy and applicable federal, state, and local regulations. This position requires a minimum of 1 year Medicare, Medicaid and Managed Care billing experience in a SNF setting.
 
EOE M/F/D/V

Business Office Manager - SNF/LTC

EPIC Healthcare

<div>NOW HIRING Business Office Manager (BOM)

We are seeking an experienced and detail-oriented Business Office Manager (BOM) to join our team. The BOM will be responsible for overseeing the financial and administrative operations of the facility, ensuring accuracy, compliance, and efficiency in all business office functions. 


Business Office Manager (BOM) Key Responsibilities:
<ul>
<li>Manage all aspects of the business office, including billing, collections, accounts payable, and accounts receivable.</li>
<li>Oversee payroll processing and ensure accurate and timely payment to employees.</li>
<li>Maintain accurate financial records and prepare monthly financial reports.</li>
<li>Ensure compliance with all state and federal regulations related to financial operations and resident billing.</li>
<li>Coordinate with insurance companies, Medicare, and Medicaid to ensure proper billing and reimbursement.</li>
<li>Provide training and support to office staff to ensure high performance and adherence to policies and procedures.</li>
<li>Collaborate with the facility administrator and other department heads to develop and manage the facility&rsquo;s budget.</li>
<li>Address and resolve any resident or family inquiries related to billing and financial matters.</li></ul> 


Business Office Manager (BOM) Qualifications:
<ul>
<li>Bachelor&rsquo;s degree in Business Administration, Accounting, or a related field preferred.</li>
<li>Experience in a business office management role, preferably in a healthcare or nursing home setting.</li>
<li>Strong knowledge of billing and reimbursement processes for Medicare, Medicaid, and private insurance.</li>
<li>Excellent organizational and time management skills.</li>
<li>Strong interpersonal and communication skills.</li>
<li>Proficiency in accounting software and Microsoft Office Suite.</li>
<li>Ability to work independently and as part of a team.</li></ul> 


Business Office Manager (BOM) Benefits:
<ul>
<li>Competitive salary</li>
<li>Comprehensive health, dental, and vision insurance</li>
<li>401(k) with company match</li>
<li>Paid time off and holidays</li>
<li>Professional development opportunities</li></ul> 


NOW HIRING Business Office Manager (BOM) 


Apply NOW!!</div>

Business Office Manager (BOM)

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