Medicaid Application Specialist

2 weeks ago


Oklahoma City, United States CareerBuilder Full time

Medicaid Application Specialist

BaneCare Management is currently seeking

Full Time Medicaid Application

Specialist

to join our team Our

Medicaid Application

Specialist

role would be based out of our corporate office, conveniently located in Braintree, MA. If youre passionate about the healthcare industry and are interested in joining a growing organization that promotes career growth and where its fun to come to work every day, we may be the place for you. Apply today

Qualifications:

Strong knowledge of the Medicaid application process and requirements

Must have strong organizational skills with high level notice of details

Good verbal and written communication skills

Must have reliable means of transportation

Responsibilities:

Responsible for all stages of the Medicaid application and conversion process in order to ensure financial eligibility

Processing of all appropriate forms applicable to the Massachusetts state requirements

Meet with residents/families in timely manner

Monitor and document the progress of the pending Medicaid cases

Communicate resident responsibility, discuss and bill estimated Patient Liability

Monitor admissions who do not have a supplemental plan and notify centers

Respond to denials, which may include attendance of appeals or submission of reapplication

Work in collaboration with the A/R Coordinators/Business Office staff to coordinate efforts to approval

Manage legal referrals and respond with staff input

Attend court hearings

Track SCO admissions for conversions

Coordinate with PACE offices for conversions

Prepare reports and attend A/R Collection meetings with Regional team

Maintain and distribute admission flag list

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