Benefits & Eligibility Coordinator

Benefits & Eligibility Coordinator

01 Oct 2025
Maryland, Gaithersburg, 20877 Gaithersburg USA

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. You’ll also oversee resident funds programs and play a vital role in maintaining the financial health of our Skilled Nursing Facilities.What You’ll DoManage 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.

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