4 Medicaid Specialist Jobs in Chattanooga, TN
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Medicaid Specialist
$45k-75k (estimate)
Full Time
3 Days Ago
Health Center at Standifer Place is Hiring a Medicaid Specialist Near Chattanooga, TN
2626 Walker Rd.
Chattanooga, TN 37421
423-490-1599
LINE OF AUTHORITY:
(Note: Specific duties are assigned at the discretion of the Business Office Department Head and may be adjusted to meet the needs/expertise of personnel available.)
General Description:
Chattanooga, TN 37421
423-490-1599
LINE OF AUTHORITY:
- Business Office Department Head
- Administrator
- Degree
- Prefer Master's degree in Social Work from school or university accredited by the council on Social Work education or
- Bachelor's degree from accredited college or university
- Experience in dealing with people in crises is preferable
- Knowledge of the case management process, needs of geriatric patients, health care settings, working knowledge of funding resources such as Medicare Part A, B, C and D, Medicaid, Managed Care and other private insurances
- Imagination and creative ability, skill in working cooperatively with other professionals, ability to organize and carry out responsibility efficiently and effectively
- Ability to communicate effectively and appropriately both verbally and in writing in a wide variety of circumstances
- Commitment to the mission and goals of the center
- Ability to exercise independent judgment where procedures cannot be standardized
- Dedicated totally to the success of the center and The Better Way culture
- Able to lift 20-40 lbs. on occasional basis
- Able to bend, stoop, squat and twist numerous times daily
- Able to see and hear adequately in order to respond to auditory and visual requests from patients
- Able to speak in a clear concise voice in order to communicate with patients who may be hearing impaired
- Able to carry out fine motor skills and manual dexterity
- Able to manage own stress effectively
- Well lighted, well ventilated office space
- Interacts with general public under all conditions. Much of the work involves difficult circumstances, patient and families in emotional distress, severe illness, dying, death and grief, confusion, combativeness, ill-temper, etc.
- Constant pressure to respond maturely and effectively with patients, families, other staff and other professionals
- Must appropriately represent center in dress and demeanor per the partner handbook and any written regional policy
(Note: Specific duties are assigned at the discretion of the Business Office Department Head and may be adjusted to meet the needs/expertise of personnel available.)
General Description:
- Gather current information available about funding resources
- Work with individual patients and families toward understanding there funding resources
- Inform individual patients and families of the need for applying and becoming eligible for Medicaid benefits
- Assist individual patients and families with their application for Medicaid benefits including but not limited to gathering supporting documentation
- Assist individual patients and families with their renewal applications for Medicaid benefits including but not limited to gathering supporting documentation
- Serve in an advocacy role for patients and their families in expressing, defining and resolving grievances
- Participate in in-service training programs
- Evaluate the quality of the Business Office and of Social Services as part of the center's overall quality improvement program
- Develop and maintain contacts with appropriate community agencies
- Handle some marketing activities/functions assigned by the Business Office Department Head
- Funding information:
**Provide family and patient with accurate, up to date information regarding funding resources such as Medicare Part A, B, C and D, Medicaid, and Private insurances - Inquiry Management:
- Maintain professional working relationship with government agencies including the Tennessee Department of Health, Hamilton County DHS office and Social Security Administration to share and obtain information concerning a patient's application for Medicaid benefits and any renewals
- Financial/Medical Records:
**Keep current a report summarizing the financial and discharge status of all patient's who may possibly need Medicaid benefits.- Create and maintain files on all patients who may need or who have Medicaid benefits,
- Document, clearly and legibly
- Document reports of progress at required intervals
- Ombudsman:
- Maintain relationship with patient and family in order to facilitate early identification of potential problems
- Maintain close working relationship with all other departments in appropriately resolving grievances
- Identify and report trends or patterns of complaints to the Business Office Department Head
- Manage difficult or emotional customer situations
- Case Management with patients and families:
- Respond to immediate need of any patient or family referred by floor staff, DON, therapists, administrator, or physician
- Encourage maximum participation of family in meeting needs of patients
- Respond promptly to customer needs
- Proactively work to meet and/or exceed customer expectations
- Build a relationship of trust and respect with customers
- Develop knowledge of criteria utilized by Medicaid and other third party payors for continued stay authorization in order to educate patient and families
- Transition/Discharge Planning:
- Obtain information from family and patient on admission regarding expectations and resources available for discharge planning
- Collaborate with other care plan team members to confirm and stay current on a patient's discharge plans
- Coordinate in-house planning and assist patient and family in obtaining services needed to assure continuity of care
- Participate in Utilization Review to advise committee on discharge planning
- In-Service Education:
- Participate in continuing education programs available, with consent of Business Office Department Head
- Participate in in-service education of staff in areas of expertise, especially emotional needs of elderly, patient's rights, confidentiality and the Abuse Policy
- Quality Improvement:
- Participate in quality improvement program of center
- Understand the QI process
- Participate in survey processes conducted by state regulatory agencies
- Other duties which may be assigned by Business Office Department Head
- The Medicaid Specialist is responsible for the quality of Business Office and Social Services rendered by the center
- Report to the Business Office Department Head the current status of the business office and present needs as perceived by the Medicaid Specialist
- Understand and abide by established policies of health care center and interpret them to concerned parties
- Participate in consultation with the Business Office Department Head, especially pointing out problems and trends that may require company policy attention
- Maintain confidentiality of professional information
- Abide by the Policies and Procedures in the Business Office Manual and the Social Services Manual
- Account for use of time, report sickness, and plan vacation time with the Business Office Department Head
- Assuring Resident Safety
Job Summary
JOB TYPE
Full Time
SALARY
$45k-75k (estimate)
POST DATE
07/03/2024
EXPIRATION DATE
07/19/2024
WEBSITE
standiferplace.org
HEADQUARTERS
CHATTANOOGA, TN
SIZE
200 - 500
TYPE
Private
CEO
BRENDA WILLIAMSON
REVENUE
$5M - $10M
INDUSTRY
Skilled Nursing Services & Residential Care
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The following is the career advancement route for Medicaid Specialist positions, which can be used as a reference in future career path planning. As a Medicaid Specialist, it can be promoted into senior positions as a Managed Care Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medicaid Specialist. You can explore the career advancement for a Medicaid Specialist below and select your interested title to get hiring information.
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