LTC Medicaid Processing Specialist

Duties and Responsibilities

• Meeting with all new admissions (resident or family) to explain financial obligations
• Ensure that private pay arrangements are initiated. This includes maintaining dialog with responsible party prior to residents converting from any other payer source.
• For Medicaid pending residents, obtain information needed to file a complete Medicaid application in a timely manner
• Submit Medicaid applications in a timely manner
• Submit Medicaid recertification in a timely manner
• Follow up on any communication from Medicaid office in a timely manner
• Communicate with Medicaid caseworker on a regular basis to assure all documentation is submitted for approval
• Maintain regular communication with the Global Billing office and the Business Office internally in building, including copying all documentation to the Global office upon receipt and reporting all conversations with caseworkers and responsible party
• Address income payment with residents/responsible party; obtain direct deposit and when rep payee is needed file rep payee with Social Security office
• Develop and maintain a good working rapport with other departments within the Facility, to assure that patient status is up to date
• Perform other related duties as assigned by the Administrator

Specific Requirements

• Must have at least 1 year of skilled nursing home experiance.
• Must be computer literate (MS Excel, Word, PowerPoint skills).
• Must be able understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must possess the ability to deal tactfully with personnel, residents, visitors and the general public.
• Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices.
• Be able to follow written and oral instructions.
• Be knowledgeable in computers, data retrieval, input and output functions, etc.

Benefits