Medicaid Eligibility Assistant & Coordinator

Opco-Skilled-Management-; Sulphur Springs (TX); On-site; USD 40,000 - 54,000; Full time

Benefits offered by this job

Healthcare

Dental

Vision

PTO

401K

Job summary

Opco-Skilled-Management- is seeking a dedicated Medicaid Pending Coordinator. You will obtain Medicaid Pending information from responsible parties and maintain timely follow-up until completion, supporting the Senior Medicaid Advocate to determine Medicaid Eligibility for admission.

You will contact parties for documentation, communicate with residents or families, and track all referrals to ensure timely resolution while adhering to state laws and the company Compliance Plan.

Qualifications

• Experience in the Medicaid application/renewal process for LTC facilities.
• Proficient computer skills.
• Well organized and able to multitask.
• Attention to detail.
• Ability to travel, including a valid driver’s license and automobile insurance.

Responsibilities

• Assist with the Medicaid Pending process by contacting the responsible party to request backup information for the items provided on the Medicaid Questionnaire.
• Communicate with residents and/or family members regarding the application process and supporting documentation needed.
• Maintain tracking system for all assigned Medicaid Pending referrals to ensure timely completion.
• Detailed email communication within the referral group attaching required information.
• Report delays or barriers to the Senior Medicaid Advocate.
• Report weekly to the Senior Medicaid Advocate and VP of Revenue Cycle Management on outstanding items and status of referrals.
• Pick up the PO box mail and distribute.
• Ensure compliance with all State laws related to the position.
• Adhere to the Organization’s Compliance Plan and Code of Ethics.
• May assist other departments within Accounts Receivable.

Skills

Proficient computer skills

Multitasking

Attention to detail

Travel readiness

Tools

TMHP

SimpleLTC

Job description

Opco-Skilled-Management- is seeking a dedicated Medicaid Pending Coordinator. You will obtain Medicaid Pending information from responsible parties and maintain timely follow-up until completion, supporting the Senior Medicaid Advocate to determine Medicaid Eligibility for admission.

You will contact parties for documentation, communicate with residents or families, and track all referrals to ensure timely resolution while adhering to state laws and the company Compliance Plan.