Medicaid Eligibility Specialist

BridgePoint Healthcare; Washington (District of Columbia); On-site; USD 33,000 - 51,000; Full time

Benefits offered by this job

Competitive pay

Shift differentials

Benefits package

Paid time off

Referral program

Performance reviews

Well-being resources

Mentorship programs

Job summary

Stanton Park Health & Rehabilitation in Washington, DC seeks a Medicaid Eligibility Specialist to manage Community Medicaid applications and re-certifications for residents, and to support daily census reconciliation.

You'll collaborate with families and government agencies, including DHS, SSA, and VA, and ensure compliance with Federal, State, and Local Medicaid rules.

Qualifications

• Education: Minimum high school diploma or equivalent; some college preferred.
• Experience: Knowledge of Federal, State, Local laws governing Medical Assistance Programs in D.C., Maryland, Virginia.
• Regulatory requirements related to Medicaid eligibility and enrollment.

Responsibilities

• Complete Community Medicaid applications and re-certifications for residents.
• Reconcile daily census and obtain Form 1445 for BridgePoint Outpatient and SNF residents.
• Interact with families and various government agencies (DHS, SSA, VA).

Skills

Medicaid billing knowledge

Regulatory compliance

Communication skills

Education

High School Diploma

Some college coursework

Job description

Medicaid Eligibility Specialist – Be the Heart of Skilled Nursing & Sub Acute Care

Stanton Park Health & Rehabilitation | Washington, DC

Position Type: Full-Time

Shifts Available: Days

Rate of Pay: $23.95 to $36.78 (plus Shift Diffs as applicable)

Access to Daily Pay

You chose healthcare for a reason. Let that reason thrive here.

At STANTON PARK HEALTH & REHABILITATION, whether you work with residents every day or support those who do, you are making a difference that matters. We know the path to recovery doesn't happen alone. As a team, we work cohesively to meet each resident’s unique needs. We are a team-driven environment and we care about our own!

Our employees form the foundation of everything we do optimizing resident healing and wellness, and creating a warm and welcoming environment. It is because of the dedication of our employees that we can live out our mission, vision, and company values every day.

It is at STANTON PARK HEALTH & REHABILITATION where care, community, and careers happen.

What You’ll Love

• Competitive hourly pay + shift differentials
• Paperless, quick onboarding
• Comprehensive benefits (health, dental, vision, retirement plan, same day pay, instant access to wages) (eligibility requirements apply)
• Predictable scheduling and flexibility (e.g., full-time, part-time, PRN options)
• Paid time off, holiday pay
• Generous employee referral program
• Annual performance reviews and competitive bi-annual pay reviews
• Support for personal well-being (EAP programs, mental health resources)
• Respectful, supportive leadership and strong focus on teamwork
• Optimal staff-to-patient ratios to prevent burnout
• Opportunities for advancement
• Tuition reimbursement, training programs, and CEU support
• Strong mentorship and orientation programs
• School Partnerships
• 360 communications for staff, patients & families

What You’ll Be Doing

Here at Stanton Park Healthcare the Medicaid Eligibility Specialist is primarily responsible for completing Community Medicaid applications and re-certifications on behalf of our patients, reconciling/distributing daily census, and obtaining Medicaid approval Form 1445 for BridgePoint Outpatient and SNF residents. Also, the Medicaid Eligibility Specialist position will interact closely with family members and various government agencies including the Department of Human Services, Social Security Administration, and Veteran's Administration.

Requirements

Education: Minimum high school diploma or equivalent with some college preferred. Basic knowledge of Medicare and Medicaid billing regulations required.

Licenses/Certification: N/A

Experience: Complete understanding of the Federal, State, Local laws, regulations, and guidelines that governs the administration of the Medical Assistance Programs in D.C., Maryland, Virginia.

Safety Sensitive-Designated Positions

Compensation for the role will depend on several factors, including a candidate’s qualifications, skills, competencies and experience.

We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.