Benefits & Eligibility Coordinator

We are seeking a detail-oriented and knowledgeable Benefits & Eligibility Coordinator to oversee Medicaid billing and application processes at our Gaithersburg MD community Asbury Methodist Village.  In this key role you will serve as the subject matter expert on Medicaid managing resident eligibility and ensure compliance with all State and County guidelines. Youll also oversee resident funds programs and play a vital role in maintaining the financial health of our Skilled Nursing Facilities.

What Youll Do

• Manage the Medicaid application and reapplication process for residents including complex cases ensuring compliance with regulations.

• Oversee intake and eligibility verification for Skilled Nursing Facilities developing systems to confirm payer coverage before admission.

• Lead the resident funds program (RFMS) and banking system ensuring timely and compliant processing of refunds and transactions.

• Track Medicaid Pending aging support Facility Billing Counselors and update resident income changes.

• Collaborate on collection activities including monitoring Resident Responsibility Accounts Receivable and referring cases to outside agencies as needed.

• Guide policy development and updates related to Medicaid processes and ensure adherence to safety management standards.

Qualifications :

Required Qualifications

• Bachelors degree in a related field or equivalent experience
• 25 years of Medicaid Medicare and third-party billing/application experience

• 12 years of accounting experience with computerized systems

• Strong attention to detail organization and communication skills

• Proficient in Microsoft Office; comfortable with databases/software systems

Preferred Qualifications

• Prior knowledge of the Maryland Medicaid program

• Experience developing process improvements and efficiencies

• Ability to think strategically and support policy or program enhancements

• Familiarity with resident funds programs and/or healthcare-related financial systems

Additional Information :

Depending upon the status of the position Asbury offers generous benefits including medical dental and vision coverage; 401K with match; PTO and paid holidays.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity or expression pregnancy age national origin disability status genetic information protected veteran status or any other characteristic protected by law.  #TB1

Remote Work :

No

Employment Type :

Full-time