Medicaid Care Navigator & Claims Specialist

Diamond Healthcare; Effort (PA); On-site; USD 42,000 - 62,000; Full time

Job summary

Brookmont Health & Rehab in Effort, PA is seeking a Medicaid Specialist to navigate the Medicaid system and ensure patients receive access to needed services. You will analyze eligibility and communicate clearly with patients and providers.

This role requires strong problem-solving skills, attention to detail, and the ability to work with healthcare teams. The position involves intake assessments, claims processing, and maintaining accurate records, with opportunities for growth.

Qualifications

• Analytical thinking and problem solving are essential.
• Strong communication with patients, families, and providers.
• Detail oriented with accuracy in documentation and processes.

Responsibilities

• Assist patients in navigating the Medicaid system to ensure seamless coverage and access to necessary services
• Conduct intake assessments to identify patient eligibility for Medicaid programs
• Process and submit Medicaid claims in a timely and accurate manner
• Collaborate with healthcare providers to obtain necessary information and documentation for Medicaid applications
• Provide exceptional patient communication and education on Medicaid benefits and services
• Maintain accurate records and reports of patient Medicaid applications and claims

Skills

Analytical thinking

Communication skills

Attention to detail

Multitasking

Job description

Brookmont Health & Rehab in Effort, PA is seeking a Medicaid Specialist to navigate the Medicaid system and ensure patients receive access to needed services. You will analyze eligibility and communicate clearly with patients and providers.

This role requires strong problem-solving skills, attention to detail, and the ability to work with healthcare teams. The position involves intake assessments, claims processing, and maintaining accurate records, with opportunities for growth.