Regional Medicaid Eligibility Specialist

3 days ago


Virginia Beach, Virginia, United States Saber Healthcare Group Full time

About the Role:

Saber Healthcare Group is seeking an experienced individual to fill the Regional Medicaid Eligibility Manager position. This role will support and develop the Revenue Cycle Process as it relates to Medicaid Eligibility. The successful candidate will work in conjunction with the Revenue Cycle Management Team to ensure timely approval and payment.

Key Responsibilities:

  • Possess a full understanding of Medicaid Eligibility Requirements as they pertain to individual state and federal regulations.
  • Maintain full ownership of all Medicaid Pending Accounts that have reached 150 days and older to ensure the next, most appropriate steps are being taken to achieve approval.
  • Be a mentor and source of reference for all Communities, Management and coworkers.
  • Answer and respond to all inquiries by Communities, Management and coworkers in a timely manner.
  • Work in conjunction with Revenue Cycle Management Team to create efficiencies throughout the revenue cycle process.

Requirements:

  • Accounting, Finance or Human Resource degree preferred but not required.
  • Have 2 or more years of Long Term Care experience as it relates to Revenue Cycle and Medicaid Eligibility.
  • Experience working in a skilled nursing facility environment would be a plus.
  • Advanced knowledge of MS Excel, Word and Outlook required.

Benefits:

  • Eligible for benefits the first of the month following 30 days.
  • Comprehensive benefit packages including medical, dental, and vision.
  • 401K through Fidelity.
  • Paid Time Off (PTO).
  • Educational and tuition opportunities.
  • Various Discount Programs Offered.
  • Wellness Programs offered through WebMD.
  • Employee Recognition Programs.
  • Culture of employees creating an IMPACT.

We are an Equal Opportunity Employer:

All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age and military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.



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