Custodial Census Specialist – Skilled Nursing Facilities

About the role

The Custodial Census Specialist manages the daily resident census for assigned skilled nursing facilities, ensuring accurate records, insurance eligibility, and proper reimbursement. This position acts as the primary liaison between facilities, managed care organizations, and internal teams, delivering high‑quality customer service in a fast‑paced healthcare environment.

Key responsibilities

• Maintain up‑to‑date custodial care census, tracking admissions, discharges, transfers, and payer changes.
• Verify insurance eligibility and benefits, assigning the correct payer for each resident.
• Review and document authorization requirements, ensuring all records are complete.
• Collaborate with facilities, insurers, and internal departments to resolve census discrepancies and eligibility issues.
• Respond promptly to payer notifications and update resident records accordingly.
• Upload discharge documentation and other required files into internal systems in a timely manner.
• Identify and flag potential reimbursement risks or documentation gaps for leadership.
• Prioritize work queues to meet departmental turnaround times and compliance standards.

Required profile

• Strong attention to detail and organizational abilities.
• Analytical mindset with solid problem‑solving skills.
• Excellent verbal and written communication.
• Ability to manage multiple priorities in a dynamic environment.

Required skills

• Microsoft Excel
• Microsoft Outlook
• Electronic Medical Records (EMR) systems
• Payer portals
• Healthcare software platforms