Are you detailoriented, payrollsavvy, and looking to grow your career in a stable environment?

We are seeking a Payroll Specialist to support accurate, timely payroll processing while working alongside an experienced payroll team.

Education & Experience

• High school diploma or equivalent (Associate’s or Bachelor’s degree preferred)
• Minimum 1 year of payroll processing experience
• Familiarity with payroll systems (e.g., Paycor, Smartlinx or similar platforms).

Technical Skills

• Understanding of payroll regulations, tax compliance, and wage laws.
• Proficiency in Microsoft Excel and other office applications.
• Ability to reconcile payroll reports and maintain accurate records.

Soft Skills

• High attention to detail and accuracy.
• Strong organizational and time-management skills to meet strict deadlines.
• Excellent communication skills for interacting with employees and management.
• Ability to handle confidential information with discretion.

Salary: $65,000.00 - 75,000.00

#BO

Shift available: Full-time, M-F

Robust Benefits Package:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

The Regional Medicaid Supervisor manages and optimizes Medicaid application processes, Medicaid pending financial accounts, reimbursement workflows, and manages staff across a portfolio of Skilled Nursing Facilities (SNFs). This role acts as the primary regional expert on state Medicaid guidelines, ensuring timely approvals, minimizing financial risk, and training facility-level Medicaid Financial Coordinators.

JOB DUTIES:

·         Manage the end-to-end Medicaid application, renewal, and redetermination for residents across SNF locations.

·         Track Medicaid pending accounts and aging balances

·         Ensure strict adherence to state Medicaid regulations, payer timelines, and corporate financial policies.

·         Serve as the primary regional liaison between the organization, resident families, and state/county Medicaid case workers to resolve delayed cases.

·         Supervise, mentor, and evaluate facility-level Medicaid Coordinators within the region

·         Conduct ongoing training and education regarding changing Medicaid policies, and electronic record

EXPERIENCE:

• SNF Medicaid expertise: 5+ years handling Medicaid eligibility, applications, renewals, redeterminations, and pending accounts in skilled nursing.
• Medicaid financial management: Experience reducing Medicaid pending balances, monitoring aging, resolving reimbursement issues.
• Regulatory knowledge: Strong understanding of state/federal Medicaid rules, LTC requirements, payer timelines, and MLTC programs.
• Multi-site leadership: Ability to oversee and support Medicaid Coordinators across multiple SNFs rather than managing only one facility.
• Case resolution: Experience working directly with residents/families, Medicaid caseworkers, counties/agencies, and internal billing/finance teams.
• Training: Ability to educate facility staff on Medicaid policy changes, eligibility requirements, and EHR/billing processes.
• Regional mobility: Willingness to travel regularly between assigned facilities.

Work Location: In person

Salary: $100,000.00 - 120,000.00

#BO

Job Type: Full-time

• Monday – Friday
• 9:00am -5:00pm

DESCRIPTION OF DUTIES:

• Input Daily Census
• Update authorizations for HMO’s
• Insurance verification
• Data Entry of Lab, Xray, Pharmacy invoices
• Working knowledge of Medical billing and Insurance coverages
• Communication with Admissions dept and Billing dept regarding Payer changes
• Familiar with Epaces, NGS Connex, Availity
• High Efficiency using Excel
• Attention to Detail
• Experience in the Medical Billing field required, Nursing Home Billing preferred.
• Sending communications to patients/families
• Filing & Scanning

Additional Skills:

• Computer Skills Required
• Proficient in Microsoft Word, Excel and Outlook a must
• Confidence talking on the phone to patients and insurance representatives
• Good writing skills
• Ability to multi-task and work in a fast-paced environment without getting distracted
• Self-starter but able to work on a team and take direction

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary: $20-21 per hour

Monday – Friday · 9:00am -5:00pm

DESCRIPTION OF DUTIES:

• Check Eligibility via Insurance Websites and/or Telephone
• Billing/collection
• A/R follow-up unpaid or denied claims
• Phone calls to insurance, request for Reprocessing
• Denials, Insurance Appeals

Responsibilities:

• Claims follow-up
• Working denials
• Determining appropriate next steps based on AR & Aging Reports
• Reading and interpreting EOBs
• Sending Corrected Claims
• Calling insurance companies at various stages of the claims process

Experience:

• Experience in Insurance & MLTC billing preferred
• Additional Skills:
• Excellent communication skills
• Confidence talking on the phone to patients and insurance representatives
• Good writing skills
• Ability to multi-task and work in a fast-paced environment without getting distracted
• Self-starter but able to work on a team and take direction
• Understanding of General Ledger
• Posting of Payments

Compensation:

• Competitive salary
• Excellent Benefits Package (medical, dental, vision, 401K)
• Paid Time Off

Job Type: Full-time

Salary: $60,000-$80,000 annually

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Location: Nassau County

Responsibilities include:

• Processing of Medicaid Applications, Conversions and Recertifications.
• Meeting with resident and or representative and analysis of all financial documents necessary to process the application.
• Redirecting of income (NAMI) and monitoring that all necessary forms are completed and submitted to Business Office. Remains current with all in house residents’ financial status and communicates any barriers to payment to both the facility and business office.
• Preparation for meetings with supervisor and other facility staff to review aging and current resident financial profiles.
• Able to work closely with the admissions department to ensure that admission agreements are completed. Also, the business office to ensure that all financial loopholes in securing payment are satisfied.
• Strong familiarity with all aspects of current NYS Medicaid regulations, particularly Suffolk County DSS.
• Proficiency in Nursing Facility Programs and Microsoft Excel, Outlook and Word. Ability to provide information and reports to supervisor and upper management as needed.
• Interaction with outside agencies and law firms and representation at fair hearing and guardianship proceedings if necessary. Completion of attorney referrals as needed.
• Ability to develop relationships with outside financial and other institutions to obtain needed documentation.
• Candidate should be proactive, a creative thinker and be able to multi-task and communicate effectively with residents/families/representatives and facility staff.

Some local travel involved.

Salary: From $60,000 and up commensurate with experience

Location: Suffolk County

Responsibilities include:

• Processing of Medicaid Applications, Conversions and Recertifications.
• Meeting with resident and or representative and analysis of all financial documents necessary to process the application.
• Redirecting of income (NAMI) and monitoring that all necessary forms are completed and submitted to Business Office. Remains current with all in house residents’ financial status and communicates any barriers to payment to both the facility and business office.
• Preparation for meetings with supervisor and other facility staff to review aging and current resident financial profiles.
• Able to work closely with the admissions department to ensure that admission agreements are completed. Also, the business office to ensure that all financial loopholes in securing payment are satisfied.
• Strong familiarity with all aspects of current NYS Medicaid regulations, particularly Suffolk County DSS.
• Proficiency in Nursing Facility Programs and Microsoft Excel, Outlook and Word. Ability to provide information and reports to supervisor and upper management as needed.
• Interaction with outside agencies and law firms and representation at fair hearing and guardianship proceedings if necessary. Completion of attorney referrals as needed.
• Ability to develop relationships with outside financial and other institutions to obtain needed documentation.
• Candidate should be proactive, a creative thinker and be able to multi-task and communicate effectively with residents/families/representatives and facility staff.

Some local travel involved.

Salary: From $60,000 and up commensurate with experience