What are the responsibilities and job description for the Medicaid Specialist position at Carespring?
This position may not be currently open at one of the Carespring buildings. By applying here, you will be considered when a position becomes available based on the facility’s location and your listed home address. If you have questions, please contact the recruiter.
We need a Medicaid Specialist to join our team at Carespring Healthcare Management in Loveland, Ohio.
As a Medicaid Specialist, you'll play a crucial role in processing potential Medicaid patients while ensuring complete and timely payments from Medicaid and related private portions. You'll identify best practices and implement processes for continuous improvement in order to reduce Medicaid pending days and eliminate write-offs related to Medicaid payors and transitions to Medicaid.
$50,000 to $60,000 Per Year
You'll Be Responsible For:
- Reviewing Financial Disclosure Forms (FD) to determine patient financial assistance needs, including Medicaid assistance and eligibility
- Reviewing Medicaid applications
- Assessing and resolving eligibility requirements, such as the need for QIT, CSV of Life Insurance policies
- Collaborating with facilities, patients, and families to gather necessary verifications for Medicaid applications
- Ensuring that Medicaid applications are submitted
- Educating, advocating, and communicating with patients, families, facilities, and county Medicaid offices during the pending process
- Keeping track of intake appointments, checking the status of pending cases, ensuring the gathering of additional verifications needed, and expediting the processing of pending cases.
- Maintaining continued contact with patients, responsible parties, county case workers, and facilities until Medicaid eligibility is secured and confirmed
- Verifying timely completion of each step of the Medicaid process and following up as necessary
- Documenting steps in HCS
- Working directly with LSW to file appeals and assess needs for outside resources, including consultants or legal involvement
- Ensuring annual recertifications are completed in a timely manner
- Maintaining electronic records and documentation of pending cases in HCS and maintaining accurate pending logs of current cases
You'll Need To Have:
- In-depth knowledge of Medicaid eligibility requirements
- A minimum of three years of relevant Medicaid experience
- Excellent communication skills
We’re Proud To Offer You:
- Paid Time Off
- Paid Training
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Disability Insurance
- 401K with Employer Match
- Flexible Schedule
- Education Scholarships
- Continuing Education Credits
- Employee Discounts
Exceptional Care & Quality Service are the hallmarks of Carespring’s in-house team of talented and experienced licensed therapists, nurses and caregivers.
Carespring facilities are EOE/M/F/D/V and Smoke-Free Workplaces.
Salary : $50,000 - $60,000
