Demo

Medical Pending Specialist

Highland Park Rehabilitation & Care
Aurora, CO Full Time
POSTED ON 2/13/2025
AVAILABLE BEFORE 5/8/2025

Highland Park Rehabilitation & Care -

Are you a Nursing Home Medicaid EXPERT?

Sweetwater Care is currently seeking a full time Medicaid Pending Specialist to assist in the completion of Medicaid applications, conversions, and reviews in various facilities in Colorado.

Duties include :

  • Responsible for working Pending Medicaid applications and re-determinations in order to ensure financial eligibility.
  • Processing of all appropriate forms applicable to the Montana state requirements
  • Meet and work with residents / families in timely manner, per policy
  • Monitor and document the progress of the pending Medicaid cases
  • Communicate resident responsibility, discuss Patient Liability payments, per policy
  • Respond to denials, which may include attendance of appeals or submission of reapplication
  • Work in collaboration with the facility Business Office staff to coordinate efforts to approval
  • Prepare reports and attend Medicaid Pending meetings with Regional team

Requirements include :

  • Strong knowledge of the Medicaid application process and requirements
  • Must have strong organizational skills with high level notice of details
  • Good verbal and written communication skills
  • Must have reliable means of transportation
  • Frequent travel to facilities and various governmental offices
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