Medicaid Eligibility Assistant - Pending & Compliance

Opco-Skilled-Management-; Sulphur Springs (TX); On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

Healthcare

Dental

Vision

PTO

401K

Job summary

Opco-Skilled-Management- seeks a detail-oriented Medicaid Pending Administrator to support the Senior Medicaid Advocate and ensure timely eligibility determinations for admissions in LTC facilities in Texas.

You will contact responsible parties, maintain tracking, communicate with residents or families, and ensure compliance with state laws while coordinating with the Accounts Receivable team. Travel may be required to service facilities as needed.

Qualifications

• Experience in the Medicaid application/renewal process for LTC facilities.
• Experience with TMHP and SimpleLTC portals preferred.
• Proficient computer skills, including standard office software.
• Well organized and able to multitask with attention to detail.
• Ability to travel; valid driver’s license and automobile insurance required.

Responsibilities

• Assist with Medicaid Pending process by contacting responsible parties for backup information.
• Communicate with residents and/or family members regarding applications and required documents.
• Maintain tracking system for Medicaid Pending referrals to ensure timely completion.
• Draft detailed emails and attach required information for referrals.
• Report delays or barriers to the Senior Medicaid Advocate.
• Provide weekly updates to leadership on outstanding items and referrals.
• Assist other AR department duties as needed.

Skills

Medicaid experience

TMHP/SimpleLTC

Proficient computers

Multitasking

Attention to detail

Travel ability

Job description

Opco-Skilled-Management- seeks a detail-oriented Medicaid Pending Administrator to support the Senior Medicaid Advocate and ensure timely eligibility determinations for admissions in LTC facilities in Texas.

You will contact responsible parties, maintain tracking, communicate with residents or families, and ensure compliance with state laws while coordinating with the Accounts Receivable team. Travel may be required to service facilities as needed.