Regional Medicaid Eligibility Manager

3 weeks ago

Concord, United States Genesis Healthcare LLC Full time

Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly skilled and motivated to make a difference.

Bring your financial skills to Genesis in the role of Regional Medicaid Eligibility Manager where you will play an integral role in the achievement of Genesis business excellence goals. In this position, you will optimize revenue in multiple skilled nursing centers across counties within your assigned territory.

Position Highlights

* Work with assigned nursing centers' Business Office Managers to collect on all private pay customer balances owed, to include hands on collections, center process review, auditing and reporting of results.
* Collaborate with assigned nursing centers' Business Office Managers to prepare Financial Eligibility Applications for submission to counties in assigned territory to secure grants.
* Monitor private accounts for proper spend down to ensure financial eligibility without coverage gaps.
* Respond to grant decisions including re-determinations through either acceptance or appeals process.
* Support the Medicaid Application Process by training assigned nursing centers' Business Office Managers on Medical Assistance and re-determination application processing.
* Act as liaison with counties, Genesis skilled nursing centers' and customers/representatives to secure and maintain grants from time of submission to the County through initial grant decisions and ongoing eligibility determinations.

Why Genesis?

We improve the lives we touch through the delivery of high-quality healthcare and everyday compassion

* We Care Deeply about YOU Guided by our Core Values, Code of Conduct and Ethics program, we foster a culture of care and compassion. We focus on improving the quality of care through creativity and innovation, honesty and integrity in all we do.
* We Develop YOU We provide career ladders, education and training opportunities so you can build a long and successful career with Genesis.
* We Appreciate YOU We value your contributions to the Genesis mission and vision and instill an environment of teamwork and enjoyment in working together. We recognize and celebrate our shared successes.
* We are Committed to YOU We know you are the vital link between Genesis, our patients and residents We inspire you to be your best self.
* We Protect YOU We take great pride in meeting or exceeding CDC and CMS standards.

SHARESME1

Qualifications:

* College degree preferred with a minimum of 5-7 years' experience in long-term care /healthcare industry or equivalent experience in a county agency.*Private collection experience preferred.*Accounting, Insurance, Paralegal experience may be transferable.

Other Info

* Position Type: Full Time
* Pay Target: neg.
* Job City: Concord
* Requisition Number: 496385

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