Medicaid Applications Specialist

Opco-Skilled-Management-; St. Louis (MO); On-site; USD 52,000 - 73,000; Full time

Benefits offered by this job

Healthcare

Dental

Vision

PTO

401K

Job summary

OPCO Skilled Management in Missouri seeks a Medicaid Specialist to support the Business Development Team with Medicaid applications, document collection, and form completion. The role requires strong organization, detail orientation, and travel as needed in LTC settings.

You will review referrals, assist with documentation, and maintain tracking for all Medicaid cases through to approval, while ensuring compliance with state laws and the company's ethics policies.

Qualifications

• Experience in Medicaid application/renewal for LTC facilities.
• Proficient computer skills in standard software.
• Well organized with ability to multitask effectively.
• Attention to detail in documentation and processes.
• Willingness to travel with a valid driver's license & auto insurance.

Responsibilities

• Review referrals and Medicaid questionnaires to determine eligibility.
• Assist in completing applications and collecting supporting documents.
• May communicate with residents/families regarding the process.
• Maintain tracking for Medicaid Pending residents to approval.
• Monitor Medicaid application progress and timelines.
• Attend daily census calls with facilities.
• Report delays or denials to Regional Director of Business Development.
• Ensure compliance with state laws governing the role.
• Adhere to the organization’s Compliance Plan and Code of Ethics.
• May assist other departments within the Central Billing Office.
• Other duties as assigned or changed.

Skills

Medicaid process knowledge

Proficient computer skills

Organization & multitasking

Attention to detail

Travel with license

Job description

OPCO Skilled Management in Missouri seeks a Medicaid Specialist to support the Business Development Team with Medicaid applications, document collection, and form completion. The role requires strong organization, detail orientation, and travel as needed in LTC settings.

You will review referrals, assist with documentation, and maintain tracking for all Medicaid cases through to approval, while ensuring compliance with state laws and the company's ethics policies.