Medicaid Specialist
1 week ago
Longterm Healthcare Facility - Nursing and Rehabilitation Center located in the Germantown section of Philadelphia, offering skilled nursing, short-term rehabilitation and long-term care services. Our staff are committed to providing excellent care and services in a friendly, resident-focused, home-like environment. The MA Specialist works closely with the Admissions Director and Business Office Manager to determine what residents will need for a Medicaid application as well as follow through with the application process through to approval/denial. Key Responsibilities Prepare, submit, and complete Medicaid applications for all residents. Follow the submission process as directed by management. Collect required documentation from residents or family members to secure Medicaid approval. Contact banks, insurance companies, pension providers, and other institutions for eligibility verification. Maintain close communication with facility Business Office Managers regarding case status, income figures, and other critical details. Track Medicaid pending cases, notes, and documents in Aidace. Meet all application deadlines; request extensions when documentation cannot be collected on time. Appeal denials and attend hearings when appropriate. Escalate cases to management when facing barriers in obtaining information or signatures. Communicate as needed with Medicaid caseworkers. Upon receipt of approvals (e.g., PA 162), review for accuracy including effective date, income, and deductions; scan documents into Aidace and notify the BOM, manager, and CEO. Participate in weekly case review meetings with your manager. Requirements Strong communication and interpersonal skills; ability to collaborate effectively with residents, families, and facility staff. Problem-solving skills with the ability to think critically and identify solutions when challenges arise. Empathy and a client-focused mindset, ensuring sensitivity to resident and family needs. Detail-oriented with the ability to manage multiple cases and deadlines simultaneously. Proficiency with Aidace or willingness to learn quickly. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
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Medicaid Specialist
2 weeks ago
Philadelphia, United States Liberty Center For Rehabilitation And Nursing Full timeLiberty Center For Rehabilitation And Nursing - Liberty Center is seeking a Medicaid Specialist. The Medicaid Specialist is responsible for overseeing all functions of the Business Office, assigned by the BOM, specifically A/P, A/R, and resident financial information, and the accurate reporting of the same to corporate personnel. Job Duties and...
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Medicaid Specialist
6 days ago
Philadelphia, Pennsylvania, United States Longterm Healthcare Facility Full timeNursing and Rehabilitation Center located in the Germantown section of Philadelphia, offering skilled nursing, short-term rehabilitation and long-term care services. Our staff are committed to providing excellent care and services in a friendly, resident-focused, home-like environment.The MA Specialist works closely with the Admissions Director and Business...
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Billing/Collections Specialist
7 days ago
Philadelphia, United States Acadia Healthcare Inc. Full timeBelmont Behavioral Health System is a premiere provider of comprehensive treatment for mental health conditions and substance abuse problems. Having been in operation for over 75 years as one of the most prominent providers of behavioral healthcare treatment services, Belmont is proud to offer high quality and specialized programming options for children,...
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Authorization Specialist
5 days ago
Philadelphia, PA, United States All American Home Care LLC Full timeAll American Home Care LLC is an EEO Employer - M/F/Disability/Protected Veteran Status All American Home Care is seeking a detail-oriented and proactive Authorization Specialist to join our team. This role supports branch management by ensuring accurate initial and ongoing payer authorization and eligibility verification for our home care services. Key...
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Authorization Specialist
22 hours ago
Philadelphia, PA, United States All American Home Care LLC Full timeAll American Home Care LLC is an EEO Employer - M/F/Disability/Protected Veteran Status All American Home Care is seeking a detail-oriented and proactive Authorization Specialist to join our team. This role supports branch management by ensuring accurate initial and ongoing payer authorization and eligibility verification for our home care services. Key...
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Accounts Resolution Specialist I
3 weeks ago
Philadelphia, United States Philadelphia Staffing Full timeAccounts Resolution Specialist IPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all...
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Eligibility Specialist
2 weeks ago
Philadelphia, PA, United States Care Lync Full timeAbout Us Care Lync is a Social Services agency focused on hiring an Eligibility Specialist providing (Service Coordination/Case Management) services to adults diagnosed with Intellectual, Developmental and Physical Disabilities and Autism Spectrum Disorder throughout Pennsylvania who are enrolled in the Department of Human Services, Medicaid Waiver Program....
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Eligibility Specialist
1 day ago
Philadelphia, PA, United States Care Lync Full timeAbout Us Care Lync is a Social Services agency focused on hiring an Eligibility Specialist providing (Service Coordination/Case Management) services to adults diagnosed with Intellectual, Developmental and Physical Disabilities and Autism Spectrum Disorder throughout Pennsylvania who are enrolled in the Department of Human Services, Medicaid Waiver Program....
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Eligibility Specialist
7 days ago
Philadelphia, PA, United States Care Lync Full timeAbout Us Care Lync is a Social Services agency focused on hiring an Eligibility Specialist providing (Service Coordination/Case Management) services to adults diagnosed with Intellectual, Developmental and Physical Disabilities and Autism Spectrum Disorder throughout Pennsylvania who are enrolled in the Department of Human Services, Medicaid Waiver Program....
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Accounts Resolution Specialist II
6 days ago
Philadelphia, United States Pennsylvania Medicine Full timePenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.Today at Penn...
