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Highlights
Position Overview The Medicaid Specialist is responsible for managing Medicaid applications, re-determinations, and approvals to ensure timely and accurate financial eligibility for residents. This role works closely with facility Business Office teams and families to guide the Medicaid process from start to finish.
Numbers & Facts
| Location | Holden, Massachusetts |
| Industry | Healthcare Services |
| Company Size | 100 to 499 employees |
| Year Founded | 1964 |
| Website | http://www.oriolhealthcare.com/ |
Description
Job Title: Medicaid Specialist - Temporary
Reports to: Director of Accounts Receivable
Education: Associate degree or 3+ years’ equivalent experience
Required experience: Mass Health Insurance/Insurance Application Processor
Schedule: Full-time, 30-40 hours per week, M-F, in-house position between 8am- 5pm.
Pay Range (depending on experience): $20.00 to $24.00 per hour
Position Overview
The Medicaid Specialist is responsible for managing Medicaid applications, re-determinations, and approvals to ensure timely and accurate financial eligibility for residents. This role works closely with facility Business Office teams and families to guide the Medicaid process from start to finish.
Key Responsibilities
- Manage Medicaid pending applications, re-determinations, and conversions
- Ensure accurate and timely completion of all Massachusetts Medicaid forms and documentation
- Meet with residents and families to gather information and provide guidance throughout the application process
- Monitor, track, and document progress of Medicaid cases to ensure timely approvals
- Communicate resident financial responsibility, including patient liability requirements
- Respond to denials, including preparing appeals and reapplications as needed
Qualifications
- Proven experience with Massachusetts Medicaid application process (required)
- Prior experience in a nursing home or long-term care setting strongly preferred
- Strong organizational skills with exceptional attention to detail
- Excellent verbal and written communication skills
- Ability to manage multiple cases and deadlines effectively
- Must have reliable transportation and ability to travel between facilities
About Company
Oriol Health Care is a family owned and operated company comprised of two skilled nursing and rehab facilities – Holden Rehabilitation & Skilled Nursing Center in Holden and Oakdale Rehabilitation & Skilled Nursing Center in West Boylston – and our own therapy company – Oriol Therapy Services, Inc. For over 50 years, Oriol Health Care has been a leader in our industry operating consistently with our vision for providing health care that is comfortable and dignified for our residents and rewarding for our professional and dedicated employees.
Both Holden Rehab and Oakdale Rehab have completed major renovations and additions recently. Spacious common areas, dining areas, state of the art equipment, therapy gyms, outdoor patios and comfortable rooms provide a caring and healing environment for our guests. Holden Rehab is also home to the Wachusett Respiratory Program and offers outpatient rehab services in addition to in-house rehab. Our employees are offered an excellent benefit package that may be seen in detail on our website.
Our Vision is to focus on fulfilling the needs of the people who entrust their care to us; to be innovative and forethinking in meeting the changing needs of the community; to empower each other to achieve pride in our work.