Medicaid Specialist

The Job Summary

The Medicaid Specialist will assist the Business Development Team with completing Medicaid applications. This includes assisting with collecting documents, completing supplemental forms, and completing applications.

Qualifications

• Experience in the application/renewal process for Medicaid in LTC facilities
• Proficient computer skills
• Well organized and able to multitask
• Attention to detail
• Able to travel, which includes a valid driver’s license and automobile insurance

Responsibilities

• Review referrals and Medicaid questionnaire from assigned patients to determine eligibility for Medicaid.
• Aid in completing applications and collecting supporting documentation.
• May communicate with the residents and/or family members regarding the application process and supporting documentation needed.
• Maintain a tracking system for all assigned Medicaid Pending residents to approval.
• Maintain a tracking system to monitor Medicaid application process.
• Attend daily census calls with assigned facilities.
• Report any delays, barriers or denials to the Regional Director of Business Development.
• Ensure compliance with all State laws in relation to your position.
• Adhere to the Organization’s Compliance Plan and Code of Ethics.
• Occasionally assist other departments within the Central Billing Office.

Benefits

• Healthcare
• Dental
• Vision
• Paid Time Off (PTO)
• 401(k)