Medicaid Specialist

OPCO Skilled Management; St. Louis (MO); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Healthcare

Dental

Vision

PTO

401K

Job summary

OPCO Skilled Management is seeking a Medicaid Specialist to support the Business Development Team with Medicaid applications for residents in long-term care facilities.

Responsibilities include collecting documents, completing supplemental forms, and submitting applications. The role requires attention to detail, strong organization, and proficiency with computers. Travel may be required and a valid driver’s license and automobile insurance are needed.

Qualifications

• Experience in the Medicaid application/renewal process for LTC facilities.
• Proficient computer skills.
• Well organized and able to multitask.
• Attention to detail.
• Ability to travel with valid driver’s license and automobile insurance.

Responsibilities

• Review referrals and Medicaid questionnaires to determine eligibility for Medicaid.
• Assist in completing applications and collecting supporting documentation.
• Communicate with residents and/or family members about the process and required documents.
• Maintain tracking system for all Medicaid Pending residents to approval and monitor the process.
• Attend daily census calls with assigned facilities and report delays or denials to leadership.
• Ensure compliance with state laws and the Organization's Compliance Plan and Code of Ethics.

Skills

Medicaid experience

Attention to detail

Organization

Travel readiness

Tools

Proficient computer skills

Job description

Your Job Summary

The Medicaid Specialist will assist the Business Development Team with completing Medicaid applications. This includes assisting with collecting documents, completing supplemental forms, and completing applications.

Benefits Offered

• Healthcare
• Dental
• Vision
• PTO
• 401K

Your Qualifications

• Experience in the application/renewal process for Medicaid in LTC facilities
• Proficient computer skills
• Well organized and able to multitask
• Attention to detail
• Ability to travel, which includes a valid driver’s license and automobile insurance

Your Responsibilities

Principal Responsibilities

• Review referrals and Medicaid questionnaire from assigned patients to determine eligibility for Medicaid.
• Assist in completing applications and collecting supporting documentation.
• May have communication with the residents and/or family members regarding the application process and supporting documentation needed.
• Maintain tracking system for all assigned Medicaid Pending residents to approval.
• Maintain tracking system to monitor Medicaid application process.
• Attend daily census calls with assigned facilities.
• Report any delays, barriers or denials to the Regional Director of Business Development.
• Ensure compliance with all State laws in relation to your position.
• Adherence to the Organization’s Compliance Plan and Code of Ethics.
• May occasionally assist other departments within the Central Billing Office.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Equal Opportunity Employer

OPCO Skilled Management provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.