Indiana Medicaid Pending Specialist - Travel Ready

Hill Valley Healthcare; Indianapolis (IN); Presencial; USD 75.000 - 110.000; Jornada completa

Descripción de la vacante

Apploi seeks a Traveling Medicaid Pending Specialist to support Indiana facilities with Medicaid Pending accounts from initial identification to final eligibility determination and reimbursement, with statewide travel.

You will train Business Office teams, provide interim BOM coverage, and collaborate with Facility leadership to reduce balances, improve timelines, and navigate Indiana Medicaid eligibility and denials. Strong Indiana Medicaid expertise is required.

Formación

• Extensive Indiana long‑term care Medicaid experience – REQUIRED.
• Direct experience managing Medicaid Pending accounts in SNFs/LTACs – REQUIRED.
• Strong knowledge of Indiana Medicaid eligibility, applications, verification, and reimbursement.
• Familiarity with Indiana FSSA, DFR, IHCP processes and PathWays for Aging.

Responsabilidades

• Oversee Medicaid Pending accounts across Indiana facilities.
• Manage cases from application to final eligibility and reimbursement.
• Review application status, eligibility, documentation, and barriers to approval.
• Ensure timely submission of applications and supporting docs.
• Monitor deadlines, retroactive eligibility, patient liability, and balances.
• Identify aging, high‑risk, and stagnant accounts and develop action plans.
• Respond to RFIs and verification requests; handle denials and appeals as needed.
• Maintain audit‑ready, detailed Medicaid Pending records.
• Collaborate with facility leaders to reduce balances and improve reimbursements.

Conocimientos

Indiana Medicaid

Travel readiness

Revenue cycle

Herramientas

PCC

RFMS

Descripción del empleo

Apploi seeks a Traveling Medicaid Pending Specialist to support Indiana facilities with Medicaid Pending accounts from initial identification to final eligibility determination and reimbursement, with statewide travel.

You will train Business Office teams, provide interim BOM coverage, and collaborate with Facility leadership to reduce balances, improve timelines, and navigate Indiana Medicaid eligibility and denials. Strong Indiana Medicaid expertise is required.