What are the responsibilities and job description for the LEAD MEDICAL SPECIALIST position at Beecan Health?
Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth?
WHAT WE'RE ABOUT
We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction.
Requirements : You care
Lead Medical Specialist Summary :
The Lead Medicaid Specialist is responsible for the overall management of the financial eligibility process for State Medicaid. Communicate with facility personnel, families, and residents to obtain and expedite Medicaid eligibility and payment.
DUTIES AND RESPONSIBILITIES
- Managed the Medicaid pending process with facilities to obtain approvals timely.
- Train facilities and other interdisciplinary team members on the Medicaid Pending process.
- Follow up with County and other state workers regarding applications and global issues.
- Represent the company at all State Medicaid Related meetings and calls.
- As needed, review Medicaid applications / redeterminations for appropriate documentation and accuracy.
- Meet with facility staff and residents / family members as needed.
- Review and update as needed Medicaid Pending Logs and summary logs for assigned facilities.
- On-call availability to assist with questions or problems.
- Communicate with the VP of Revenue Cycle, Director of Revenue Cycle and Revenue Cycle Managers regarding facility needs, concerns, and financial personnel.
- Suggest enhancements to policies or procedures that are relevant and unique to facilities.
- Participate in AR reviews, trainings and strategy meetings.
- Travel to facilities on an as needed basis.
- Performs other related duties as required.
KNOWLEDGE, SKILLS, ABILITIES & QUALIFICATIONS
