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Job Description
- Req#: JR157060
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive salary based on experience
- Travel opportunities within the region to various skilled nursing facilities
- Supportive and collaborative work environment
- Chance to make a positive impact on residents' lives by ensuring Medicaid eligibility
What to Expect (Job Responsibilities):
- Oversee the full Medicaid application lifecycle, including initial applications and annual recertification
- Conduct interviews and financial reviews with residents and responsible parties to gather required documentation
- Liaise with government caseworkers, respond to RFIs, and resolve complex cases, denials, and appeals
- Train and guide facility staff on Medicaid application procedures and documentation requirements
- Generate reports for leadership on Medicaid Pending accounts, recertification deadlines, and A/R exposure
What is Required (Qualifications):
- Bachelor's degree in Business, Finance, Social Work, or related field preferred
- 3-5 years of experience managing Medicaid applications in long-term or post-acute care
- Expert knowledge of state Medicaid long-term care eligibility
- Familiarity with Medicare, Managed Long-Term Care, and other payers is highly desirable
- Ability to travel frequently within the region to various skilled nursing facilities
How to Stand Out (Preferred Qualifications):
- Regional/multi-facility experience in Medicaid application management
- Strong communication and interpersonal skills for interacting with residents, families, and governmental agencies
#HealthcareServices #Medicaid #CareerOpportunity #CompetitiveSalary #TravelOpportunities
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