Medicaid Eligibility Support Specialist

OPCO Skilled Management; Sulphur Springs (TX); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Healthcare

Dental

Vision

PTO

401K

Job summary

OPCO Skilled Management is seeking a dedicated professional to manage Medicaid Pending tasks for LTC facilities in Texas. You will obtain required information, follow up with responsible parties, and coordinate with the Senior Medicaid Advocate to determine eligibility for admission.

Responsibilities include maintaining referrals, communicating with residents or families, and reporting progress to leadership while ensuring compliance with state laws and organizational policies.

Qualifications

• Experience in Medicaid application/renewal processes for LTC facilities.
• Preferred familiarity with TMHP and SimpleLTC portals.
• Proficient with general computer use and office software.
• Strong organizational ability and multitasking capability.
• Attention to detail and accuracy in documentation.
• Must be able to travel, with valid license and auto insurance.

Responsibilities

• Assist with Medicaid Pending process by contacting responsible parties to request backup information.
• Communicate with residents or families regarding the application process and required documents.
• Maintain tracking system for Medicaid Pending referrals to ensure timely completion.
• Send detailed emails within the referral group attaching required information.
• Report delays or barriers to the Senior Medicaid Advocate and VP of Revenue Cycle Management.
• Provide weekly status updates on outstanding items needing assistance.
• Handle PO box mail distribution and ensure compliance with state laws.
• Support other AR department duties as needed.

Skills

Medicaid enrollment

Multitasking

Proficient computer skills

Attention to detail

Travel readiness

Communication skills

Tools

TMHP

SimpleLTC

Job description

OPCO Skilled Management is seeking a dedicated professional to manage Medicaid Pending tasks for LTC facilities in Texas. You will obtain required information, follow up with responsible parties, and coordinate with the Senior Medicaid Advocate to determine eligibility for admission.

Responsibilities include maintaining referrals, communicating with residents or families, and reporting progress to leadership while ensuring compliance with state laws and organizational policies.