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Medicaid Planning Specialist

5 months ago


Township of Howell, United States Apex Global Solutions Full time

Job Purpose

Collaborate with the facility business office to ensure that all facility residents have a billable payer source and that the facility can collect all monies due.

Duties & Responsibilities

1. Verify payor source for all residents to ensure that payment will be forthcoming
- Enter daily census received from facility into Veripay
- Gather all relevant New Resident Information and document in Veripay
- Research all available systems to confirm resident source of payment
- Confirm initial/updated authorizations and co-pays
- Ensure timely submission of levels of care and relevant forms
- Obtain asset and income information
- Validate resident eligibility

3. Communicate with biller to ensure coordinated efforts on activities
- Instruct biller of changes to payers and billing information
- Investigate and resolve issues to ensure a continuous and billable payer source
- Coordinate collection of due patient liability

4. Collaborate with facility administration to obtain all payment due
- Coordinate weekly meetings with BOM to ensure continuous payor source for every resident
- Coordinate collection of continuous due patient liability

5. Review reports to monitor activity
- Maintain office system to support tracking of efforts (documentation of progress in Veripay)
- Prepare agings to keep supervisor informed of all outstanding balances

6. Other duties as assigned

**Qualifications**:
A successful individual in this role will:

- Preferably possess a familiarity with Medicare/Medicaid processes.

Specific requirements:

- Able to prioritize and meet deadlines
- Attentive to detail
- Possesses proactive nature
- Able to multi-task
- Effective and courteous communication and listening skills
- Able to remain calm in stressful situations
- Possesses excellent customer service skills
- Organization skills
- Assertive nature

Compensation Range:
$18.00-$39.00