Medicaid Manager

Job DescriptionJob DescriptionSummary: Oversees Medicaid clerks to ensure they are verifying patient eligibility in accordance with Kentucky State Medicaid, monitoring scheduling and arrangements from hospital discharges for non-emergency transportation, and obtaining referrals and prior authorizations from Primary Care Physicians.

Primary Responsibilities:

• Answering phone calls from patients, care givers, nursing homes, hospitals, and Medicaid representatives
• Scheduling non-emergency transportation to and from appointments
• Coordinating with hospitals and long-term care facilities to arrange discharges
• Ensuring that clients meet eligibility standards set in place by State Medicaid
• Obtaining referrals and prior authorizations from Medicaid for out of area transportation
• Checking for efficiency in the Medicaid clerks

Qualifications

• Strong communication skills; this position is responsible for coordination between the client, hospitals, dispatch and drivers
• Be able to work under pressure
• Strong organizational skills
• Must be able to sit for long periods of time
• Knowledge of Medicaid helpful
• Basic math skills
• Computer literacy – Word, Excel, Office
• High School Diploma or equivalent
• Pre employment, post-accident, random and reasonable suspicion drug screens
• National background check

This employer provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, this employer complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

 

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