Medicaid Specialist – Remote $25 + Bonus

Must have at least three years of work experience in Long-Term Care Medicaid.

Responsibilities

The Medicaid Specialist is responsible for the timely and accurate completion and review of LTC Medicaid applications and to ensure all required documentation is made available and gathered for timely processing to the County.

Works one on one with residents, responsible parties, and facility staff to ensure the Medicaid Application process starts within 24-48 hours of any resident that will become Medicaid Pending.

Educates residents, responsible parties, and families in the Medicaid Process and communicates documents required to complete the Medicaid application.

On a daily basis will call residents, responsible parties, families and financial institutions, other affected agencies, and financial institutions to obtain documents needed for Medicaid approval.

Works collaboratively with the applicable County office to ensure they have all required documentation.

Responsible for ensuring DSS Office is in receipt of all verifications.

Responsible for ALL active in-house Medicaid residents’ yearly recertification

Ensures complete confidentiality of financial, HIPAA-protected information of residents.

Responsible to keep and update the Medicaid Pending log on a daily basis.

Responsible for ensuring that when Medicaid approval is obtained the appropriate people are notified

Comply with Health Insurance Portability and Accountability Act (HIPAA) regulations

Perform other duties as assigned by your supervisor.

Qualifications

Must have at least three years of work experience in Long-Term Care Medicaid.

Must be efficient, maintain confidentiality, exhibit good judgment, and have the ability to speak and write effectively

Must possess good communication and people skills

Must be knowledgeable of all Medicaid legal regulations, guidelines, and best practices

Must possess an aptitude for problem-solving

Must possess and demonstrate good interpersonal skills and attention to detail

Must possess and demonstrate strong computer skills