Medicaid Prior Authorization Coordinator

• Organize and maintain documentation and digital records for Medicaid service authorizations and billing rates
• Make real-time updates to the billing system when resident information, authorization details, or fee structures change
• Monitor expiring authorizations and initiate the renewal process to guarantee uninterrupted claims processing and reimbursement
• Track and record relevant Medicaid data, including resident rosters, authorization periods, billable services, and financial obligations
• Enter and reconcile incoming Medicaid payments within the billing platform
• Prepare and process patient billing statements for required contributions under Medicaid guidelines
• Communicate with Medicaid provider representatives to resolve billing issues, clarify authorization requirements, and obtain necessary documentation

• Bachelor’s degree in a related field preferred
• Experience working with Medicaid billing processes
• Strong technical skills, including proficiency with computers and Microsoft Excel
• familiarity with Eldermark and PointClickCare is an asset
• Understanding of insurance claims and billing practices
• Exceptional attention to detail and commitment to maintaining high accuracy
• Capable of working independently as well as collaboratively within a team

familiarity with Eldermark and PointClickCare

• medical, vision, dental, and life and disability insurance
• eligible to enroll in our company 401(k) plan