Benefits & Eligibility Coordinator

Asbury Communities•Gaithersburg, MD

6d•$65,000 - $75,000•Onsite

About The Position

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.

Requirements

Bachelor’s degree in a related field or equivalent experience
2–5 years of Medicaid, Medicare, and third-party billing/application experience
1–2 years of accounting experience with computerized systems
Strong attention to detail, organization, and communication skills
Proficient in Microsoft Office; comfortable with databases/software systems

Nice To Haves

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

Responsibilities

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.