Financial Eligibility and Reimbursement Coordinator-Reading

Senior LIFE; Reading, Greater London; On-site; GBP 30,000 - 50,000; Full time

Job summary

Join a forward-thinking organization dedicated to providing comprehensive healthcare services to seniors in their communities. As a Financial Eligibility and Reimbursement Coordinator, you'll play a crucial role in ensuring that participants receive the necessary support and resources to maintain their financial eligibility for vital Medicare and Medicaid services. This position offers a structured schedule with no weekends or holidays, allowing you to focus on delivering exceptional care and support. If you're passionate about making a difference in the lives of seniors and thrive in a collaborative environment, this opportunity is perfect for you.

Benefits

Competitive Pay

Comprehensive Benefits

401k

PTO

Paid Holidays Off

Qualifications

• Bachelor’s degree preferred with experience in health-related fields.
• Knowledge of Medicare/Medicaid regulations is required.

Responsibilities

• Coordinate Medicaid and Medicare benefits with participants and families.
• Maintain electronic case management records and documentation.
• Assist participants with medical assistance recertification applications.

Skills

Knowledge of Medicare/Medicaid regulations

Communication Skills

Administrative Assistance

Education

Bachelor’s degree in Health related Field

Job description

Overview

Financial Eligibility and Reimbursement Coordinator

Full Time - Daylight - Reading, PA

Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to seniors living in the community. Senior LIFE makes it possible for seniors to remain at home, enjoying the comfort and reassurance of familiar surroundings while receiving the care they need. Senior LIFE staff live the mission of the program. Our team is committed to partnering with our seniors to remain at home through promoting open communication and shared decision making while providing excellent care and services.

Schedule

• Monday - Friday, 8a - 430p
• No Weekends
• No Evenings
• No Holidays
• No On Call

Benefits

• Competitive Pay
• Comprehensive Benefits
• 401k
• PTO
• Paid Holidays Off

Requirements of the Financial Eligibility and Reimbursement Coordinator

• Bachelor’s degree with applicable experience in Health related Field (Preferred)
• Must have a driver's license, reliable transportation, and car insurance
• Knowledge of Medicare/Medicaid regulations (Required)

Responsibilities:

• Responsible for coordination of Medicaid (MA) and Medicare benefits with participants, families, and governing agencies.

• Maintain current electronic case management records, including annual MA recertifications, Skilled Nursing Facility day 31 submissions, and invoicing.
• Complete documentation of all visits (including episodic, routine, phone calls, home visits, etc.) against the corresponding care plan elements.
• Communicate participant changes to team members.
• Provide administrative assistance (applications, forms etc.)/community resources to participants as needed.
• Assist participants in successful completion of the medical assistance recertification application including submission of all relevant documentation within required timeframes to maintain financial eligibility for Senior LIFE.
• Keep the participant and family updated about the participant’s MA eligibility, Medicare application stats, and any changes with the participant’s financial status.

EOE