What are the responsibilities and job description for the Medicaid Specialist position at Horsham Center for Jewish Life?
Horsham Center for Jewish Life is seeking a Medicaid Specialist to join our team!
Schedule: Mon-Fri, Full Time 37.5hrs/wk
Duties and Responsibilities:
Schedule: Mon-Fri, Full Time 37.5hrs/wk
Duties and Responsibilities:
- Work closely with the Admissions Director and Business Office Manager to determine who will be in need of a Medicaid application
- Meet with all new residents within 72 hours of admission
- Create a MA ending case file
- Work with caseworkers and family to provide necessary documentation until the case is approved
- Contact banks, insurance companies, pension companies requesting verification needed to determine consumers MA eligibility
- Meet all deadlines associated with each MA pending case to ensure that appropriate MA effective date is obtained
- Attend hearings as needed
- Upon receipt of PA 162, review for accuracy, effective date, income, deductions, etc. Scan to billing office, PA Regional BOM, RNAC's BOM and Administrator. File one in PA 162 and one in residents file.
- Complete Medicaid Redeterminations timely and return to the County Assistance Office to prevent cases from being closed.
- Attend monthly AR Review on MA Pending.
- Graduate of an accredited high school or GED preferred.
- 2 years of college or a degree in accounting is preferred.
- Computer knowledge desirable
- A physical examination and/or evidence from a physician indicating freedom of communicable disease to be available upon employment.
- Ability to work independently or part of a group.
- Effectively communicate with others.
- Previous long-term care experience is desirable.
- 2 years business office and/or accounting experience required.
- Must possess the ability to make independent decisions when circumstances warrant such action.
- Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
- Knowledge of elderly ill and/or disabled.
- Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
- Basic understanding of following step-by-step procedures.
- Follows and understands written and oral directions.
- Knowledge of equipment used in long-term care (e.g., lifts, wheelchairs, Geri chairs, and scales).
- Must not pose a direct threat to the health or safety of other individuals in the workplace
- Competitive Salary
- Referral Bonus Program
- Paid time off (PTO) and paid holidays
- 401k
- Tuition Reimbursement
- Continuous professional and clinical training
- Awards and recognition programs
- Monday-Friday schedule
