Regional Medicaid Specialist

4 days ago

Louisville, United States CommuniCare Family of Companies Full time
Regional Medicaid Specialist

Communicare Health Services is currently recruiting a dynamic individual with prior Business Office or Admissions experience in Long Term Care for the position of Regional Medicaid Specialist for our facilities located in the Southern Indiana and St. Louis, MO region Some travel between our facilities in the area is required. This position also requires travel as necessary including but not limited to a resident and/or responsible party home to collect documentation to support applications submitted, financial institutions, Local Department of Job and Family Services.

The position of Medicaid Specialist provides assistance with the coordination of financial benefits available to the residents in our Caring Communities. The position must function as both a team member and leader to ensure that work is accomplished and quality service is delivered, supporting team members and leading the way in celebrating team successes. While focusing on delivering quality service, the position must also manage the resources within their control and assist others in managing resources.

Responsibilities of the Medicaid Specialist position include:
  • 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
  • Attend all Medicaid Pending Meetings for assigned facilities.
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.

Job 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.

  • Regional Medicaid Specialist

    2 weeks ago

    Louisville, United States CommuniCare Health Services Corporate Full time

    Regional Medicaid SpecialistCommunicare Health Services is currently recruiting a dynamic individual with prior Business Office or Admissions experience in Long Term Care for the position of Regional Medicaid Specialist for our facilities located in the Southern Indiana and St. Louis, MO region. Some travel between our facilities in the area is...

  • Eligibility Specialist

    1 month ago

    Louisville, United States Home of the Innocents Full time

    Join Home of the Innocents (HOTI), a non-profit dedicated to supporting children and families in our community. Our mission is to enrich lives with hope, health, and happiness. As one of only two certified Sanctuary Organizations in Kentucky, we prioritize safety and recovery through trauma-informed practices. Our leadership is committed to developing a...

  • Growth & Community Engage Specialist (Jefferson

    2 weeks ago

    Louisville, United States Molina Healthcare Full time

    Are you passionate about serving others? Do you have established relationships within the community? Come join our growing Community Engagement team at Molina Healthcare ! At Molina, we focus on making an impact on people’s lives! This role involves working with a wide variety of community partners to grow Molina’s membership and improve the health and...

  • Billing Specialist

    2 weeks ago

    Louisville, United States PSC- Christian Care Communities Full time

    Job DescriptionJob DescriptionBilling Specialist:Christian Care Communities Program Support Center, Middletown, KYThe Billing Specialist is primarily responsible for the timely and efficient billing and collections of the account receivables while maintaining compliance with all applicable laws, regulatory and organizational standards.1. Prepares monthly...

  • Regional Operations Specialist

    1 month ago

    Louisville, United States AssuredPartners Full time

    Overview: The Regional Operations Specialist will increase property and casualty service excellence, efficiency, and professionalism through process improvements, automation utilization and monitoring. If you are a tinkerer who likes to make things run smoothly, this is a great role for you! The Ideal Candidate You enjoy problem solving with great,...

  • Accounts Receivable Specialist

    1 month ago

    Louisville, United States Support & Medical Office Staff Full time

    Job DescriptionJob DescriptionDescription:Family Allergy & Asthma has a culture built on 6 Core Values: Care, Service, Accountability, Advocacy, Integrity, and Fun!We are looking for a customer driven, detail-oriented Accounts Receivable Specialist who will embody our core values and enjoy making a difference in the lives we serve!Location: Landis Lakes...

  • Behavior Support Specialist

    3 weeks ago

    Louisville, United States Cultivate Behavioral Management Corp Full time

    Job Summary To provide Behavior Support services to families of children with severe emotional disturbances by engaging the child and family in weekly behavior skills training activates. Behavior Support will follow a strengths-based model that will help develop and build skills that will help the child and family. Behavior Support Specialist will be...

  • Recovery Specialist Associate

    3 weeks ago

    Louisville, Kentucky, United States Elevance Health Full time

    Recovery Specialist Associate Location : Louisville, KY - Waukesha, WI - Indianapolis, IN Hours: 7:30 am - 4:00 pm CST / 08:30 am - 5:00 pm EST **This position may require you to come into the office periodically ** The Recovery Specialist Associate is responsible for identifying and initiating third-party / Workers Compensation, tracking, and reconciling...

  • AR Specialist

    4 weeks ago

    Louisville, United States LHC New Full time

    Summary We are hiring for an Accounts Receivable Specialist in Louisville, KY for our CBS Division. At LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people. We strive to offer...

  • AR Specialist

    3 weeks ago

    Louisville, United States LHC New Full time

    Summary We are hiring for an Accounts Receivable Specialist in Louisville, KY for our HCBS Division. At LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people. We strive to...

  • Certified Peer Specialist field travel in Jefferson County Kentucky

    1 month ago

    Louisville, United States Molina Healthcare Full time

    **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. Our **Passport Health Plan by Molina Healthcare** works...

  • Regional Project Manager

    3 weeks ago

    Louisville, United States Bastian Solutions Full time

    Job TitleRegional Project ManagerAlternate Locations2031 Nelson Miller Pkwy, Louisville, Kentucky 40223Full-time/Part-timeJob DescriptionThe Project Manager's involvement begins in the sales cycle. This may involve estimating, solicitation of subcontractor proposals, assistance in presentations, review of proposed contracts, project scheduling and systems...

  • Construction Specialist

    1 month ago

    Louisville, United States Rumpke of Kentucky, Inc. Full time

    Job DescriptionJob DescriptionThe Construction Specialist is a region-based position that has been assigned a named list of accounts as well as opportunities with market growth developments. This position is responsible for identifying leads, proactively prospecting, and selling new and profitable business (locations and/or services) within an assigned...

  • Billing Specialist

    1 month ago

    Louisville, United States Stites & Harbison, PLLC Full time

    Billing SpecialistStites & Harbison, PLLC, a full-service law firm would like to add a Billing Specialist to support the daily operations of the accounting team in Louisville, Kentucky. This is a non-exempt, full-time position with excellent benefits.The ideal candidate has a natural passion for math and an eagerness to learn more about the overall billing...

  • Billing Specialist

    1 month ago

    Louisville, United States Stites & Harbison, PLLC Full time

    Billing SpecialistStites & Harbison, PLLC, a full-service law firm would like to add a Billing Specialist to support the daily operations of the accounting team in Louisville, Kentucky. This is a non-exempt, full-time position with excellent benefits.The ideal candidate has a natural passion for math and an eagerness to learn more about the overall billing...

  • Recovery Specialist Associate

    3 weeks ago

    Louisville, United States Elevance Health Full time

    Description Recovery Specialist Associate Location : Louisville, KY - Waukesha, WI - Indianapolis, IN Hours: 7:30 am - 4:00 pm CST / 08:30 am - 5:00 pm EST This position may require you to come into the office periodically The Recovery Specialist Associate is responsible for identifying and initiating third-party / Workers Compensation, tracking, and...

  • Roofing Sales Specialist

    1 week ago

    Louisville, United States JT Roofs Full time

    Job DescriptionJob DescriptionAre you a motivated individual seeking a role as a Roofing Sales Specialist specializing in Roofing, Siding, and Gutter Sales? Join our team to provide solutions, boost company revenue, and relish the work you do! At our company, we believe in combining work with enjoyment. Expect cookouts, UFC Fight Nights, office workouts,...

  • Roofing Sales Specialist

    1 month ago

    Louisville, United States JT Roofs Full time

    Job DescriptionJob DescriptionAre you a motivated individual seeking a role as a Roofing Sales Specialist specializing in Roofing, Siding, and Gutter Sales? Join our team to provide solutions, boost company revenue, and relish the work you do! At our company, we believe in combining work with enjoyment. Expect cookouts, UFC Fight Nights, office workouts,...

  • Patient Scheduling Specialist

    4 weeks ago

    Louisville, United States UofL Health Full time

    University of Louisville Physicians is hiring a Patient Scheduling Specialist , FT, Days Location: 550 S. Jackson St. About Us UofL Health is a fully integrated regional academic health system with seven hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and the Brown...

  • EHR Specialist

    4 weeks ago

    Louisville, United States UofL Health Full time

    Overview We are hiring at UofL Physicians for a EHR Specialist Shift:  1st Shift Location:300 E. Market St. About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages...