Medicaid Specialist — Patient Access & Claims

Diamond Healthcare; Effort (PA); On-site; USD 52,000 - 66,000; Full time

Job summary

Brookmont Health & Rehab in Effort, PA seeks a Medicaid Specialist to navigate the Medicaid system, assess eligibility, and ensure timely, accurate claims processing. The role emphasizes strong communication with patients and healthcare providers to secure needed services.

The position focuses on maintaining meticulous records, supporting the care team, and delivering high-quality patient experiences within a busy senior care environment.

Qualifications

• Prior experience in healthcare or social services preferred.
• Strong analytical and problem-solving abilities with attention to detail.
• Excellent communication and interpersonal skills for patient and team interactions.
• Ability to work in a fast-paced environment with multiple priorities.
• Proficiency in Medicaid regulations and policies.

Responsibilities

• Assist patients in navigating the Medicaid system to ensure coverage and access to services.
• Conduct intake assessments to determine patient Medicaid eligibility.
• Process and submit Medicaid claims accurately and promptly.
• Collaborate with providers to obtain information for Medicaid applications.
• Educate patients on Medicaid benefits and services and maintain clear communication.
• Maintain accurate records of patient Medicaid applications and claims.

Skills

Analytical skills

Problem-solving

Communication

Interpersonal skills

Medicaid regulations

Job description

Brookmont Health & Rehab in Effort, PA seeks a Medicaid Specialist to navigate the Medicaid system, assess eligibility, and ensure timely, accurate claims processing. The role emphasizes strong communication with patients and healthcare providers to secure needed services.

The position focuses on maintaining meticulous records, supporting the care team, and delivering high-quality patient experiences within a busy senior care environment.