What are the responsibilities and job description for the Medicaid Planning Specialist position at 10010109 Global Healthcare Fiscal Services LLC?
Job Purpose
Collaborate with the facility business office to ensure that all facility residents have a billable payer source and that the facility can collect all monies due.Duties & Responsibilities
1. Verify payor source for all residents to ensure that payment will be forthcoming
- Enter daily census received from facility into Veripay
- Gather all relevant New Resident Information and document in Veripay
- Research all available systems to confirm resident source of payment
- Confirm initial/updated authorizations and co-pays
- Ensure timely submission of levels of care and relevant forms
2. Facilitate Medicaid Pending application process
- Obtain asset and income information
- Validate resident eligibility
- Review Medicaid application provided by facility
- Follow through on application process until approval obtained
3. Communicate with biller to ensure coordinated efforts on activities
- Instruct biller of changes to payers and billing information
- Investigate and resolve issues to ensure a continuous and billable payer source
- Coordinate collection of due patient liability
4. Collaborate with facility administration to obtain all payment due
- Coordinate weekly meetings with BOM to ensure continuous payor source for every resident
- Coordinate collection of continuous due patient liability
5. Review reports to monitor activity
- Maintain office system to support tracking of efforts (documentation of progress in Veripay)
- Prepare agings to keep supervisor informed of all outstanding balances
6. Other duties as assigned
Qualifications
A successful individual in this role will:
- Preferably possess a familiarity with Medicare/Medicaid processes.
Specific requirements:
- Able to prioritize and meet deadlines
- Attentive to detail
- Possesses proactive nature
- Able to multi-task
- Able to rapidly learn and apply knowledge
- Effective and courteous communication and listening skills
- Able to remain calm in stressful situations
- Possesses excellent customer service skills
- Organization skills
- Assertive nature
- Possesses basic computer skills such as Microsoft Office applications
Compensation Range:
$18.00-$39.00Salary : $18 - $39