Medicare & Medicaid Eligibility & Reimbursement Coordinator

Senior LIFE PACE; Washington (Washington County); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive Pay

Comprehensive Benefits

401k

PTO

Paid Holidays Off

Job summary

Senior LIFE is seeking a Financial Eligibility and Reimbursement Coordinator to join our Washington PA team. This full-time role focuses on coordinating MA and Medicare benefits, managing electronic case records, and guiding participants and families through recertification processes.

The position requires a health-related bachelor’s degree (preferred), a valid driver's license with reliable transportation, and knowledge of Medicare/Medicaid regulations.

Qualifications

• Bachelor’s degree with applicable experience in Health related Field (Preferred).
• Must have a driver's license, reliable transportation, and car insurance.
• Knowledge of Medicare/Medicaid regulations (Required).

Responsibilities

• Coordinate Medicaid (MA) and Medicare benefits with participants, families, and governing agencies.
• Maintain current electronic case management records, including annual MA recertifications, Skilled Nursing Facility day 31 submissions, and invoicing.
• Document all visits (episodic, routine, phone calls, home visits, etc.) against the care plan elements.
• Communicate participant changes to team members.
• Provide administrative assistance (applications, forms etc.)/community resources to participants as needed.
• Assist participants in successful completion of the medical assistance recertification application including submission of relevant documentation within required timeframes.
• Keep the participant and family updated about MA eligibility, Medicare application stats, and changes in financial status.

Education

Bachelor's degree

Job description

Senior LIFE is seeking a Financial Eligibility and Reimbursement Coordinator to join our Washington PA team. This full-time role focuses on coordinating MA and Medicare benefits, managing electronic case records, and guiding participants and families through recertification processes.

The position requires a health-related bachelor’s degree (preferred), a valid driver's license with reliable transportation, and knowledge of Medicare/Medicaid regulations.