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Manager of Medicaid Review

Chicago, Illinois 60601

Post Date: 12/20/2017 Job ID: 1809 Job Category: Healthcare: Managed Care

The Medicaid Revenue Manager is  responsible for oversight of the revenue process for communities participating in the program. The position requires a strong focus on training, development of policies and procedures, billing, internal audits, and compliance with company, state, and federal requirements.

Job Responsibilities:
  • Oversee entire Medicaid revenue process from referral/admission and billing to payment.
  • Provide leadership through effective goal setting, delegation and communication
  • Build professional relationships with local and state offices
  • Monitor daily Medicaid admits and discharges for entry into state system
  • Monitor completion of tasks and establish job responsibilities for staff
  • Train staff in Medicaid billing to complete duties within the scope of their position
  • Provide and implement policies and procedures for facility staff based on state requirements
  • Review and monitor aging report for Medicaid payer types
  • Direct staff to efficiently bill and collect accounts
  • Complete rebilling and collection projects
  • Oversee payment collection status from state agencies
  • Prepare analysis and projection reports to monitor collections and cash flow
  • Provide adequate billing programs and training to ensure high success rate of billing submissions allowing for expedited cash flow
  • Conduct collection meetings with Corporate and Business Office Staff
  • Monitor progress
  • Includes traveling to facilities

  • Bachelors degree preferred or High School diploma with 5-7 years of experience within healthcare industry, senior housing, or other related field
  • 1-2 years management experience (direct or indirect)
  • Strong knowledge of state and federal Medicaid requirements, submission process, contracts, and billing


Kathleen Hepburn, SPHR
Senior Recruiter

Kathleen has been providing Human Resources and Recruiting solutions to a wide range of organizations for over 20 years. Her areas of expertise include talent sourcing and acquisition, HR planning, employee relations, and performance management. She is credited with developing strategic partnerships to quickly identify and recruit talent; leading corporate initiatives to grow revenues and reduce expenditures; and creating effective programs to train, retain and reward employees.
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