Medicaid Pending Specialist – Nursing Home Expert (MA)

Bear Mountain Healthcare; Massachusetts; On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical/Dental/Vision

401(k) Retirement Plan

Life Insurance

Short Term Disability

Long Term Disability

Paid Sick/Vacation/PTO/Holidays

Employee Assistance Program

Employee Recognition Events

Job summary

Bear Mountain Healthcare in Massachusetts is seeking a full-time Medicaid Pending Specialist to assist in completing Medicaid applications, conversions, and reviews across multiple facilities.

Responsibilities include managing pending applications, re-determinations, denials, and reapplications, coordinating with the Business Office, and preparing reports for regional teams. Strong Medicaid knowledge and logistics are essential.

Qualifications

• Strong knowledge of the Medicaid application process and requirements.
• Must have strong organizational skills with high level notice of details.
• Good verbal and written communication skills.
• Must have reliable means of transportation.

Responsibilities

• Work Pending Medicaid applications and re-determinations to ensure financial eligibility.
• Process forms applicable to Massachusetts state requirements.
• Meet with residents/families per policy and monitor progress of cases.
• Communicate resident responsibility and discuss patient liability payments.
• Respond to denials and assist with appeals or reapplications.
• Collaborate with facility Business Office staff to coordinate approvals.
• Prepare reports and attend Medicaid Pending meetings with Regional team.

Skills

Medicaid knowledge

Organizational skills

Verbal and written communication

Transportation

Job description

Bear Mountain Healthcare in Massachusetts is seeking a full-time Medicaid Pending Specialist to assist in completing Medicaid applications, conversions, and reviews across multiple facilities.

Responsibilities include managing pending applications, re-determinations, denials, and reapplications, coordinating with the Business Office, and preparing reports for regional teams. Strong Medicaid knowledge and logistics are essential.