Regional Medicaid Eligibility Manager

2 weeks ago


Morgantown, West Virginia, United States Genesis Healthcare Services Full time
Job Title: Regional Medicaid Eligibility Manager

Genesis Healthcare Services is seeking a highly skilled and motivated Regional Medicaid Eligibility Manager to join our team. In this role, you will play a critical part in optimizing revenue in multiple skilled nursing centers across counties within your assigned territory.

Key Responsibilities:
  • Collaborate with assigned nursing centers' Business Office Managers to collect on all private pay customer balances owed, including hands-on collections, center process review, auditing, and reporting of results.
  • Prepare Financial Eligibility Applications for submission to counties in assigned territory to secure grants.
  • Monitor private accounts for proper spend-down to ensure financial eligibility without coverage gaps.
  • Respond to grant decisions, including re-determinations through either acceptance or appeals process.
  • Support the Medicaid Application Process by training assigned nursing centers' Business Office Managers on Medical Assistance and re-determination application processing.
  • Act as liaison with counties, Genesis skilled nursing centers, and customers/representatives to secure and maintain grants from time of submission to the County through initial grant decisions and ongoing eligibility determinations.
Why Genesis Healthcare Services?

We improve the lives we touch through the delivery of high-quality healthcare and everyday compassion. We foster a culture of care and compassion, focusing on improving the quality of care through creativity and innovation, honesty, and integrity in all we do. We provide career ladders, education, and training opportunities so you can build a long and successful career with Genesis. We value your contributions to the Genesis mission and vision and instill an environment of teamwork and enjoyment in working together. We recognize and celebrate our shared successes.



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