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Medicaid Application Coordinator

2 months ago

Maitland, Florida, United States Compass Senior Solutions Care Manag Full time
Job Overview

The Medicaid Application Coordinator plays a crucial role in ensuring the prompt and precise processing of Medicaid Pending applications. This position is essential for gathering and verifying all necessary documentation to facilitate timely submissions to the appropriate County offices. The Coordinator must adhere to established policies and procedures in line with current Federal, State, and local regulations, ensuring that all data entered into the billing software is accurate and completed without delay.

About Compass Senior Solutions Care Management

Compass Senior Solutions Care Management is a progressive organization dedicated to managing complex medical cases with a focus on quality care and support.

Key Responsibilities

  • Engage directly with clients, their families, and responsible parties to initiate the Medicaid Application process promptly after admission.
  • Provide education and guidance regarding the Medicaid process, clearly communicating the necessary documentation for application completion.
  • Notify the Business Office Manager immediately of any lack of cooperation or delays from clients or families during the application process.
  • Maintain strict confidentiality regarding clients' financial and HIPAA-protected information.
  • Complete the Options package for Aging and Adult Services to secure clinical approval for Medicaid.
  • Ensure that spousal cases include all additional information required by the County for timely processing and approval.
  • Facilitate understanding and signing of the Patient Liability by residents or their responsible parties on a monthly basis.
  • Keep the Medicaid Pending log updated daily.
  • Collaborate with the relevant County office to ensure all required documentation is submitted.
  • Attend in-person interviews at the County Assistance Office when necessary to secure grants for families who cannot attend.
  • Ensure the County Assistance Office receives all necessary verifications.
  • Manage yearly recertifications for all active in-house Medicaid clients.
  • Adhere to Health Insurance Portability and Accountability Act (HIPAA) regulations.

Qualifications

  • A minimum of ten years of experience in Long Term Care, with proficiency in the ICP Medicaid application process.
  • Ability to maintain confidentiality, demonstrate sound judgment, and communicate effectively both verbally and in writing.
  • Strong interpersonal skills and the ability to work well with diverse populations.
  • Thorough knowledge of Medicaid regulations, guidelines, and best practices.
  • Understanding of business office operations and the importance of following established procedures.
  • Strong problem-solving skills.
  • Employment is contingent upon successful completion of all pre-employment screenings, including criminal background checks and Medicaid Exclusion Screening, both yielding negative results.