Medicaid Coordinator, Skilled Nursing

Qualifications

• Must possess, at a minimum, a high school education.
• Must have Medicaid experience in a Skilled Nursing Facility, or a similar type of health care facility, or equivalent experience or training.
• Must have experience in providing and coordinating medical records, admissions, resident receivables, resident funds, or similar health-related services.
• Must possess the ability to make independent decisions when circumstances warrant.
• Must possess the ability to deal tactfully with other health care institutions, social service agencies, staff, residents, family members, visitors, government agencies and their representatives, outside health care professionals, vendors, support agencies and the general public.
• Must be a minimum of twenty-one (21) years of age.
• Must have patience, a cheerful disposition and enthusiasm, as well as the willingness and ability to handle difficult representatives of other health care institutions and government and other agencies, as well as residents, family members and legal representatives.

Requirements

• This is not a remote position.

Main Duties

• Communicate effectively with facility management team.
• Communicate with resident/families the Medicaid process; gather all necessary documents required; and, explain the resident liability/co-pay process and assist in the timely collection of copays.
• Submit Medicaid Applications and complete timely follow up on pending cases.
• Enter admit packets into MEDI within 15 days of admission and ensure proper documentation is sent to facility caseworkers.
• Record Income changes timely.
• Maintain Medicaid Pending and Pending Admit log for each.
• Submit all re-determinations for Medicaid in a timely manner.
• If a case gets canceled, denied or in the appeal process; it is the Medicaid Specialist’s responsibility to follow up with the necessary Medicaid office until case gets reinstated.
• Responsible to oversee the appeal process and provide education when necessary.
• All other duties as assigned.