Resident Benefits Manager

IRENE WORTHAM CENTER - POSITION DESCRIPTION

TITLE Resident Benefits Manager	Revised 09/10/2026
DEPT Administration	Location Irene Wortham Center Inc.
SUPERVISED BY QA/QI Director	SUPERVISES N/A

Employee Sign		Print		Date
Manager Sign		Print		Date

Position Summary

Resident Benefits Specialist is responsible for managing Social Security Administration communications, coordinating resident benefits, completing required Social Services documentation and reporting, and serving as a liaison with guardians, family members, healthcare providers, and government agencies. This role ensures timely resolution of billing issues, maintains accurate records, and supports residents in obtaining and maintaining eligible benefits and services.

Essential Duties & Responsibilities

1. Serve as the primary contact for Social Security Administration (SSA) inquiries, applications, benefit verification, changes, appeals, and resident eligibility matters.
2. Communicate regularly with residents, guardians, family members, and representatives regarding benefits, financial obligations, and required documentation.
3. Complete, process, and maintain paperwork for various Social Services programs, including Medicaid, Medicare, disability benefits, and other public assistance programs.
4. Prepare and submit required reports to government agencies, regulatory entities, and internal management.
5. Monitor benefit renewals, recertifications, and deadlines to ensure continued eligibility and compliance.
6. Investigate and resolve physician, hospital, pharmacy, and other healthcare provider billing discrepancies.
7. Coordinate with medical providers, insurance carriers, Medicare, Medicaid, and third-party payers to resolve outstanding claims and unpaid balances.
8. Maintain accurate resident financial and benefits records in accordance with organizational policies and regulatory requirements.
9. Assist with admission, discharge, and resident status changes that impact benefits and financial accounts.
10. Track resident accounts and follow up on outstanding documentation needed for benefit approvals or reimbursement.
11. Collaborate with Social Services, Business Office, Nursing, and Administration departments to address resident concerns and ensure continuity of services.
12. Ensure compliance with federal, state, and local regulations related to resident benefits and financial reporting.
13. Provide administrative support related to resident funding sources, guardianship documentation, and benefit management.