Administrative Assistant

About the role

Xploy Solutions is seeking a Custodial Census Specialist to manage and oversee the custodial care census across assigned skilled nursing facilities. The role supports accurate resident census records, insurance eligibility, payer compliance, authorization status, and required documentation for reimbursement and continuity of care.

The specialist serves as a primary liaison between facilities, managed care organizations, and internal departments, resolving census discrepancies, eligibility issues, and authorization concerns while delivering customer service.

Responsibilities

• Manage the daily custodial care census for assigned skilled nursing facilities, keeping resident information accurate, complete, and up to date.
• Monitor admissions, discharges, transfers, and payer changes, updating internal systems accordingly.
• Verify insurance eligibility and benefits to support appropriate payer assignment and reimbursement.
• Review authorization requirements and maintain accurate authorization records for custodial residents.
• Work with facilities, managed care organizations, and internal teams to resolve census discrepancies, eligibility concerns, and authorization issues.
• Respond promptly to AMP communications and other payer notifications, taking appropriate action to maintain accurate resident records.
• Ensure discharge documentation is received, reviewed, and uploaded into appropriate systems in a timely manner.
• Maintain documentation supporting eligibility verification, payer communications, authorizations, and census updates.
• Identify and escalate potential reimbursement risks, payer issues, or documentation deficiencies to leadership.
• Monitor work queues.

Requirements

• Strong organizational skills, attention to detail, and critical thinking.
• Ability to manage multiple priorities in a fast-paced healthcare environment.

How to apply

Postúlate directamente en CazVid.

Datos clave

• Gestiona el censo diario de cuidados custodiales en centros de enfermería especializada asignados.
• Verifica elegibilidad y beneficios de seguros, requisitos de autorización y registros de residentes.
• El puesto requiere organización, atención al detalle y pensamiento crítico.

Salario estimado

Salario estimado para asistente administrativo en República Dominicana: DOP 20.000 - 30.000 al mes, según 13 ofertas con salario publicado en CazVid. Es una estimación, no el salario ofrecido.