Financial Coordinator
Pleasant View Home | Inman, KS 67546 Apply online at: www.pleasantviewhome.com/jobs
Position Summary
Pleasant View Home is seeking a Financial Coordinator responsible for managing resident financial coverage related to Medicare, Medicare Advantage Plans, and Medicaid.
This position ensures accurate payer source identification, timely reimbursement, and completion of Medicaid applications while maintaining compliance with state and federal regulations. The Financial Coordinator works closely with Admissions, Nursing, Business Office staff, residents, and families to support the financial stability of the facility and continuity of resident care.
Essential Functions
The following duties are essential to this position:
- Coordinate Medicare and Medicare Advantage billing and reimbursement processes for skilled nursing residents.
- Verify insurance eligibility, benefits, and coverage at admission and throughout the resident’s stay.
- Manage and process long-term care insurance claims efficiently.
- Complete, submit, and track Medicaid applications, renewals, spend-downs, and required documentation.
- Educate residents and families on Medicaid eligibility requirements, financial responsibilities, and application timelines.
- Serve as liaison with state Medicaid agencies, managed care organizations, and insurance carriers.
- Monitor pending applications and follow up to ensure timely approvals and prevent coverage gaps.
- Maintain accurate resident financial, insurance, and application records in compliance with HIPAA and facility policies.
- Collaborate with Admissions, Social Services, Nursing, and the Business Office to ensure appropriate payer source management.
- Review and resolve billing discrepancies, denials, and delayed payments.
- Assist with state surveys, audits, and financial documentation requests.
- Stay current on Medicare, Medicare Advantage, and Medicaid regulations affecting skilled nursing facilities.
- Assist the Billing Specialist with monthly billing functions.
- Perform other duties as assigned by supervisor.
Qualifications
Education
- High school diploma or equivalent required
- Associate or bachelor’s degree in healthcare administration, business, or related field preferred
Experience
- Minimum one year experience processing Medicare, Medicare Advantage, and Medicaid in a nursing home or skilled nursing facility
- Knowledge of state Medicaid eligibility rules and long-term care regulations
- Proficiency in electronic health records and long-term care billing systems
Join the Pleasant View Home team and help support quality care through strong financial stewardship.