Medicaid Specialist

4 weeks ago


Indianapolis, United States CommuniCare Advantage Full time

Wildwood Healthcare Center, a member of the CommuniCare Family of Companies is currently recruiting for a Medicaid Specialist to join our team.

Full Time Day Shift Position Available.

PURPOSE/BELIEF STATEMENT

The position of Medicaid Specialist provides assistance with the coordination of financial benefits available to our residents.

JOB RESPONSIBILITIES

* Assist the facility with gathering financial data from the resident, family and responsible party.
* Review verifications and determine if qualifications for benefits have been met.
* Complete and submit applications to state Medicaid programs
* When appropriate become the authorized representative when applying for benefits
* Maintain proper documentation to support efforts with all applications submitted.
* Escalate difficult cases to management timely
* File appeals with the appropriate agency when necessary
* Build working relationships with local agency which produces the Level of Care/Pasarr Screen and local agency which determines Medicaid Eligibility

WHAT WE OFFER

As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.

QUALIFICATIONS/EXPERIENCE REQUIREMENTS

* Must be knowledgeable with laws, regulations, and guidelines that pertain to long-term care reimbursement.
* 3-5 years of Long Term Care Business Office or Social Service experience in healthcare, preferably in a long term care setting
* Must possess a thorough understanding of Medicare. Medicaid, Private Insurance, managed care programs
* Must have the ability to make independent decisions when circumstances warrant such action.
* Must be able to deal tactfully with team members, other staff, residents, family members, visitors, government agencies, and the general public.
* Must be willing to seek out new methods and principles and be willing to incorporate them into existing practices.
* Prior management training.
* Basic computer literacy and skills.
* Prior experience preferably with related software applications.

About Us

A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another.


  • Medicaid Specialist

    4 weeks ago


    Indianapolis, United States Wildwood Healthcare Center Full time

    Wildwood Healthcare Center - Wildwood Healthcare Center, a member of the CommuniCare Family of Companies is currently recruiting for a Medicaid Specialist to join our team.Full Time Day Shift Position Available.PURPOSE/BELIEF STATEMENTThe position of Medicaid Specialist provides assistance with the coordination of financial benefits available to our...

  • Medicaid Specialist

    23 hours ago


    Indianapolis, United States Wildwood Healthcare Center Full time

    Wildwood Healthcare Center - Wildwood Healthcare Center, a member of the CommuniCare Family of Companies is currently recruiting for a Medicaid Specialist to join our team.Full Time Day Shift Position Available.PURPOSE/BELIEF STATEMENTThe position of Medicaid Specialist provides assistance with the coordination of financial benefits available to our...


  • Indianapolis, United States state of indiana Full time

    Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a...


  • Indianapolis, United States Professional Management Enterprises Full time

    Job DescriptionJob DescriptionDescription:BKG Enterprises is seeking Medical Management Specialist to join our team! This is a work-from home opportunity! Responsible for providing non-clinical support to medical management operations, which includes handling the most complex file reviews and inquiries from members and providers. Provides mentoring and...

  • Accounting Specialist

    1 month ago


    Indianapolis, United States Creative Financial Staffing (CFS) Full time

    Job DescriptionJob DescriptionJob Title: Accounting Specialist (Healthcare Industry)Job Summary: Our organization is seeking a talented and detail-oriented Accounting Specialist to join our client's team within the healthcare industry. As an Accounting Specialist, you will play a critical role in maintaining financial records, ensuring accuracy, and...


  • Indianapolis, United States Gardant Corporate Office Full time

    Monday thru Friday 8 am to 5 pm Hybrid PositionMedicaid Experience Cash Posting Experience Billing & Collections Experience Responsible for successfully securing the accountsreceivables for multiple communities. Responsible for the Medicaid reporting,Medicaid billing, Medicaid collections, and account reconciliation for variousMedicaid payers in addition to...


  • Indianapolis, United States Gardant Corporate Office Full time

    Monday thru Friday 8 am to 5 pm Hybrid PositionMedicaid Experience Cash Posting Experience Billing & Collections Experience Responsible for successfully securing the accountsreceivables for multiple communities. Responsible for the Medicaid reporting,Medicaid billing, Medicaid collections, and account reconciliation for variousMedicaid payers in addition to...

  • Employment Specialist

    2 weeks ago


    Indianapolis, United States Aspire Indiana Health, Inc. Full time

    Overview: WE SERVE ALL. WE HIRE ALL. WE ACCEPT ALL. Now interviewing for a Full Time Employment Specialist Aspire Indiana Health is a nonprofit provider of comprehensive whole health services including primary medical care, behavioral health, recovery services and programs addressing the social determinants of health such as housing and employment. Aspire...

  • Employment Specialist

    12 hours ago


    Indianapolis, United States Aspire Indiana Health, Inc. Full time

    Overview: WE SERVE ALL. WE HIRE ALL. WE ACCEPT ALL. Now interviewing for a Full Time Employment Specialist Aspire Indiana Health is a nonprofit provider of comprehensive whole health services including primary medical care, behavioral health, recovery services and programs addressing the social determinants of health such as housing and employment. Aspire...

  • Outreach Specialist

    2 weeks ago


    Indianapolis, United States Elevance Health Full time

    Job Description : Title: Outreach Specialist Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Outreach Specialist will be responsible for serving as the initial and main point of Field contact between the Company and current and potential...

  • Outreach Specialist

    2 days ago


    Indianapolis, United States Elevance Health Full time

    Job Description : Title: Outreach Specialist Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Outreach Specialist will be responsible for serving as the initial and main point of Field contact between the Company and current and potential...


  • Indianapolis, United States hopebridge Full time

    Job DescriptionJob DescriptionYou are detailed-orientated, organized, and know the “ins and outs” of denials. As a Denial Management Specialist, you will investigate denials for medical services provided. You will be an integral part of our Medical Billing team, directly impacting the entire organization, and ensuring claims are disputed, appealed, and...


  • Indianapolis, United States hopebridge Full time

    Job DescriptionJob DescriptionYou are detailed-orientated, organized, and know the “ins and outs” of denials. As a Denial Management Specialist, you will investigate denials for medical services provided. You will be an integral part of our Medical Billing team, directly impacting the entire organization, and ensuring claims are disputed, appealed, and...


  • Indianapolis, United States hopebridge Full time

    Job DescriptionJob DescriptionYou are detailed-orientated, organized, and know the “ins and outs” of denials. As a Denial Management Specialist, you will investigate denials for medical services provided. You will be an integral part of our Medical Billing team, directly impacting the entire organization, and ensuring claims are disputed, appealed, and...


  • Indianapolis, United States hopebridge Full time

    Job DescriptionJob DescriptionYou are detailed-orientated, organized, and know the “ins and outs” of denials. As a Denial Management Specialist, you will investigate denials for medical services provided. You will be an integral part of our Medical Billing team, directly impacting the entire organization, and ensuring claims are disputed, appealed, and...


  • Indianapolis, Indiana, United States HCA Healthcare Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Practice Specialist III opening with Asheville Ortho Associates today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsAsheville Ortho Associates offers a total rewards package that supports the...


  • Indianapolis, Indiana, United States HCA Healthcare Full time

    Description IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Practice Specialist II with Mission Health Center - Marion Pediatrics you can be a part of an organization that is devoted to giving backBenefitsMission Hlth Cntr-Marion Peds, offers a total rewards package that supports the...


  • Indianapolis, Indiana, United States HCA Healthcare Full time

    Description IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Practice Specialist II with Mission Health Center - Marion Pediatrics you can be a part of an organization that is devoted to giving backBenefitsMission Hlth Cntr-Marion Peds, offers a total rewards package that supports the...


  • Indianapolis, Indiana, United States TEKsystems Full time

    Description:Job Duties Include:Scanning, organizing, and filing of hard copy and electronic records.Maintenance of physical records, both on and offsite.Assist Manager of Document Control and Training with maintaining Quality Management System Records.Administration of company change control processes and activitiesCreate reports on change orders, product...


  • Indianapolis, Indiana, United States TEKsystems Full time

    Description:Job Duties Include:Scanning, organizing, and filing of hard copy and electronic records.Maintenance of physical records, both on and offsite.Assist Manager of Document Control and Training with maintaining Quality Management System Records.Administration of company change control processes and activitiesCreate reports on change orders, product...