Medicaid Eligibility Support Coordinator

Genesis Administrative Services LLC; Manchester (NH); On-site; USD 55,000 - 58,000; Full time

Benefits offered by this job

Variable compensation plans

Tuition, Travel, and Wireless Service 

Employee Assistance Program

Employee Foundation

Health, Dental, Vision, Company-paid  

Life Insurance

401K

Paid Time Off

On-Demand Pay

Pet Insurance

Term and Whole Life Insurance

Short-term Disability

Hospital Indemnity

Personal Accident

Critical Illness

Cancer Coverage

Job summary

Genesis Healthcare is seeking a detail-oriented Medicaid Eligibility Support Coordinator to manage the full Medicaid application process for new and converting residents for an assigned group of nursing centers. This remote role involves gathering documents, submitting applications, tracking cases through approval/denial, and managing Medicaid Pending accounts receivable.

Position highlights include identifying residents needing Medicaid, coordinating with families and staff, and ensuring timely

Qualifications

• Education: College Degree Preferred.

Responsibilities

• Manage the Medicaid application process for new and converting residents.
• Gather documents and submit applications.
• Track cases through approval/denial and manage Medicaid Pending accounts receivable.
• Identify residents needing Medicaid.
• Communicate with families and gather required documents.
• Obtain necessary authorizations and coordinate financial documentation.
• Collaborate with nursing center staff on clinical eligibility.
• Submit applications within 30 days and maintain records.
• Monitor progress and respond to information requests.
• Track cases in Open Caseload Report/PCC.
• Escalate complex cases and coordinate referrals as needed.
• Inform parties of denials and coverage gaps.
• Encourage Resident Fund Management/Direct Deposit and complete spousal estimates.
• Participate in case and aging reviews.
• Conduct weekly calls with Business Office personnel.

Education

College Degree Preferred

Job description

Overview

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.

Responsibilities

We are seeking a detail-oriented Medicaid Eligibility Support Coordinator to manage the full Medicaid application process for new and converting residents for an assigned group of nursing centers. Duties in this remote role include gathering documents, submitting applications, tracking cases through approval/denial, and managing Medicaid Pending accounts receivable.

Position Highlights

• Manage the financial and clinical aspects of the Medicaid application process.


• Proactively identify residents needing Medicaid.


• Communicate with families, explain the process, and gather required documents.


• Obtain necessary authorizations and coordinate the collection of financial documentation.


• Collaborate with nursing center staff on clinical eligibility.


• Submit applications within 30 days and maintain accurate records.


• Monitor application progress and respond to information requests.


• Track cases in an Open Caseload Report/PCC.


• Escalate complex cases and coordinate referrals as needed.


• Inform relevant parties of denials and coverage gaps.


• Encourage Resident Fund Management/Direct Deposit and complete spousal estimates.


• Participate in case and aging reviews.


• Conduct weekly calls with Business Office personnel.

Qualifications

Education: College Degree Preferred

Benefits

• Variable compensation plans


• Tuition, Travel, and Wireless Service Discounts


• Employee Assistance Program to support mental health


• Employee Foundation to financially assist through unforeseen hardships


• Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

Free 24/7virtual health careprovided by licensed doctorsforall Anthemmedically-enrolled employees and theirimmediate family members

On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

We also offer several voluntary insurances such as:

• Pet Insurance


• Term and Whole Life Insurance


• Short-term Disability


• Hospital Indemnity


• Personal Accident


• Critical Illness


• Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range

USD $55,000.00 - USD $58,000.00 /Yr.