Budgeting, Communication Skills, Community and Social Services, Detail Oriented, Finance, Government, Health Maintenance Organization (HMO), Healthcare, Insurance, Long-Term Care, Medicaid, Microsoft Office, Organizational Skills, Process Improvement, Reimbursement, Social Work
Our client, a reputable healthcare organization dedicated to providing high-quality long-term care services, is hiring a skilled and detail-oriented Medicaid Coordinator to join their team. This full-time role is vital in ensuring seamless Medicaid processes, optimizing reimbursement, and supporting residents and their families throughout the Medicaid application and renewal procedures.
Responsibilities
- Conduct comprehensive financial interviews for Medicaid applications, ensuring accuracy and completeness.
- Obtain necessary authorizations and signatures from residents and families for application processes.
- Order and follow up on all required documents with financial institutions and other relevant agencies.
- Prepare and submit Medicaid applications, including conversions and recertifications.
- Liaise with caseworkers, insurance providers, and government agencies to facilitate smooth processing.
- File fair hearing requests and attend hearings if necessary.
- Perform budget corrections and manage Medicaid-related financial adjustments.
- Manage enrollments in mandatory Managed Long-Term Care (MLTC) plans and educate families about income payments and signatures.
- Discuss and coordinate private payment options with families.
- Handle guardianship petitions when applicable.
- Manage HMO disenrollments and MLTC enrollments.
- Prepare requests related to establishment and continuation of payer sources, including Social Security and representative payees.
Requirements
- High school diploma or equivalent education.
- Minimum of 2 years experience in the finance office of a long-term care facility.
- At least 2 years of experience working with the Department of Social Services (DSS) or similar agencies.
- Proficiency in Microsoft Office Suite.
- Strong organizational and communication skills.
- Ability to handle sensitive financial and personal information discreetly and professionally.
Some of the Benefits
- Competitive salary package.
- Dynamic and supportive work environment.
- Opportunities for career growth and professional development.
- Comprehensive training and ongoing support.
Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
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