Medicaid Specialist

Bear Mountain Health Care; Irapuato; Presencial; MXN 30,000 - 45,000; Jornada completa

Descripción de la vacante

A healthcare company in Irapuato seeks a Medicaid Pending Specialist responsible for assisting with Medicaid applications and ensuring financial eligibility. The ideal candidate should have strong knowledge of the Medicaid process and excellent communication skills. Benefits include competitive salary, medical coverage, and a retirement plan. This role offers opportunities to collaborate with residents and other staff members, ensuring timely processing of applications and tracking progress.

Servicios

Competitive salary based on experience

Medical/Dental/Vision

401(k) Retirement Plan

Life Insurance, Short Term & Long Term Disability

Paid Sick/Vacation/PTO/Holidays

EAP (Employee Assistance Program)

Employee Recognition Events

Formación

• Strong knowledge of the Medicaid application process and requirements.
• Must have strong organizational skills with high level notice of details.
• Good verbal and written communication skills.
• Must have reliable means of transportation.

Responsabilidades

• Responsible for working Pending Medicaid applications and re-determinations.
• Processing appropriate forms for Massachusetts state requirements.
• Meet and work with residents/families in a timely manner.
• Monitor and document the progress of pending Medicaid cases.
• Communicate resident responsibility and discuss Patient Liability payments.
• Respond to denials, which may include attendance of appeals.
• Work in collaboration with facility Business Office staff.
• Prepare reports and attend Medicaid Pending meetings.

Conocimientos

Knowledge of Medicaid application process

Organizational skills

Verbal communication skills

Written communication skills

Reliability in transportation

Descripción del empleo

Are you a Nursing Home Medicaid EXPERT?

Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of Medicaid applications, conversions, and reviews in various facilities in Massachusetts.

Duties include:

• Responsible for working Pending Medicaid applications and re-determinations in order to ensure financial eligibility.
• Processing of all appropriate forms applicable to the Massachusetts state requirements
• Meet and work with residents/families in timely manner, per policy
• Monitor and document the progress of the pending Medicaid cases
• Communicate resident responsibility, discuss Patient Liability payments, per policy
• Respond to denials, which may include attendance of appeals or submission of reapplication
• Work in collaboration with the facility Business Office staff to coordinate efforts to approval
• Prepare reports and attend Medicaid Pending meetings with Regional team

Requirements include:

• Strong knowledge of the Medicaid application process and requirements
• Must have strong organizational skills with high level notice of details
• Good verbal and written communication skills
• Must have reliable means of transportation

Benefits:

• Competitive salary based on experience
• Medical/Dental/Vision
• 401(k) Retirement Plan
• Life Insurance, Short Term & Long Term Disability
• Paid Sick/Vacation/PTO/Holidays
• EAP (Employee Assistance Program)
• Employee Recognition Events

Performance Platform

Since being founded, Bear Mountain has been a leader in the healthcare industry. Today, Bear Mountain is a beacon of innovation, quality, and success. This continued leadership is the result of our Team Members staying true to our Vision, Mission, and Values. We expect you to demonstrate these Values:

• Performance - We're passionate about delivering exceptional healthcare and guest experiences.
• Integrity - We do the right thing, all the time.
• Transparency – We’re open, honest and straightforward in everything we do.

In addition, we expect you to demonstrate the following key attributes:

• Respect
• Honesty
• Communication

Bear Mountain Vision and Culture

Bear Mountain is a leading healthcare company, spanning the nursing home sector from Extended/Long Term Care and Short Term Rehabilitation to Neurobehavior Programs. Bear Mountain is dedicated to continuing its tradition of providing exceptional guest experiences across its facilities. Our vision “To exceed your expectation with the highest quality healthcare in a safe, clean, supportive and positive environment.” unites us as a team, our Team members put the CARE back into Healthcare, and, our amazing Team Members are at the heart of it all! We expect you to maintain and support the education of this culture.

Equal Opportunity Employer