Current jobs related to Regional Medicaid Specialist - Louisville - CommuniCare Health Services Corporate
-
MDS Float Specialist
4 days ago
Louisville, Kentucky, United States Signature HealthCARE Full timeUnlock Your Potential as an MDS Float SpecialistAt Signature HealthCARE, we're seeking a highly skilled and detail-oriented MDS Float Specialist to join our team. As a key member of our clinical team, you'll provide MDS coverage for open positions, educate and implement programs that apply to the Resident Assessment Instrument (RAI), Prospective Payment...
-
MDS Float Specialist
3 days ago
Louisville, Kentucky, United States Signature Consulting Full time## Job Summary We are seeking a highly skilled MDS Float Specialist to join our team at Signature HealthCARE. As a key member of our clinical staff, you will be responsible for providing MDS coverage for open positions, educating and implementing programs that apply to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality...
-
Regional Patient Advocate
3 weeks ago
Louisville, United States First Source LLC Full timeGeneral Summary:The Regional Patient Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs. They travel within an assigned region to provide additional coverage as needed, and to cover for Representatives who are ill, on vacation, on leave or out of the office for any reason.Essential Duties and...
-
Provider Enrollment Specialist
2 weeks ago
Louisville, Kentucky, United States BrightSpring Health Services Full timeAbout the RoleBrightSpring Health Services is seeking a highly skilled Provider Enrollment Manager to join our team. As a key member of our Legal Department, you will be responsible for compiling, submitting, and tracking Medicare, Medicaid, and private payer provider applications, as well as re-validations and re-credentialing applications.Key...
-
Provider Enrollment Specialist
3 days ago
Louisville, Kentucky, United States Southern Home Care Services, Inc. Full timeProvider Enrollment ManagerAt Southern Home Care Services, Inc., we are seeking a highly skilled Provider Enrollment Manager to join our team. This role is responsible for assisting our Legal Department in compiling, submitting, and tracking Medicare, Medicaid, and private payer provider applications, as well as re-validations and re-credentialing...
-
Regional Patient Advocate
2 months ago
Louisville, United States First Source LLC Full timeGeneral Summary: The Regional Patient Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs. They travel within an assigned region to provide additional coverage as needed, and to cover for Representatives who are ill, on vacation, on leave or out of the office for any reason. Essential Duties and...
-
Regional Director
19 hours ago
Louisville, Kentucky, United States Allspring Global Investments Full timeAbout the RoleWe are seeking a highly skilled Regional Director to join our team at Allspring Global Investments. As a Regional Director, you will be responsible for driving sales of our mutual funds, separately managed accounts, money funds, and DCIO business at all broker dealers and RIAs in strategically important and large market geographic areas.Key...
-
Financial Reporting Specialist
3 weeks ago
Louisville, Kentucky, United States HireTalent - Diversity Staffing & Recruiting Firm Full timePosition OverviewThe Financial Reporting Specialist is responsible for the preparation and dissemination of regular financial statements intended for stakeholders outside the organization. This role involves a variety of assignments that often necessitate analytical thinking and independent judgment to determine the best course of action.Key...
-
MDS Float Specialist
1 week ago
Louisville, Kentucky, United States Signature HealthCARE Full timeUnlock Your Potential as an MDS Float SpecialistAt Signature HealthCARE, we're revolutionizing the way we deliver care to our residents. As an MDS Float Specialist, you'll play a vital role in ensuring our centers maintain the highest standards of quality and care.Key Responsibilities:Provide MDS coverage for open positions, ensuring seamless care...
-
Provider Enrollment Specialist
2 days ago
Louisville, Kentucky, United States BrightSpring Health Services Full timeJob SummaryAs a Provider Enrollment Manager at BrightSpring Health Services, you will play a critical role in ensuring the company's compliance with government regulations and legal requirements. You will be responsible for compiling, submitting, and tracking Medicare, Medicaid, and private payer provider applications, as well as re-validations and...
-
Billing Specialist
2 months ago
Louisville, United States PSC- Christian Care Communities Full timeJob 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...
-
MDS Coverage Specialist
4 weeks ago
Louisville, Kentucky, United States Signature HealthCARE Full timeCompany OverviewSignature HealthCARE is a family-oriented healthcare organization providing integrated services across seven states, encompassing a full spectrum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine.A growing number of our facilities are receiving quality assurance accreditation...
-
Provider Enrollment Specialist
3 days ago
Louisville, Kentucky, United States BrightSpring Health Services Full timeJob SummaryWe are seeking a highly skilled Provider Enrollment Manager to join our team at BrightSpring Health Services. As a key member of our Legal Department, you will be responsible for compiling, submitting, and tracking Medicare, Medicaid, and private payer provider applications, as well as re-validations and re-credentialing applications.Key...
-
Provider Enrollment Specialist
1 day ago
Louisville, Kentucky, United States Southern Home Care Services, Inc. Full timeJob Title: Provider Enrollment ManagerJob Summary:The Provider Enrollment Manager will play a critical role in ensuring the Company's compliance with Medicare, Medicaid, and private payer regulations. This position will be responsible for compiling, submitting, and tracking provider applications, as well as re-validations and re-credentialing...
-
MDS Float Specialist
2 weeks ago
Louisville, Kentucky, United States Signature Consulting Services LLC Full timeAbout Signature Consulting Services LLCSignature Consulting Services LLC is a leading healthcare company that provides integrated services across the continuum of care, including skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine.Our MissionWe are committed to delivering high-quality care and services...
-
Transportation Specialist
4 weeks ago
Louisville, Kentucky, United States Harbor House of Louisville Full timeTransportation Specialist - Job OverviewPosition Summary:The Transportation Specialist is tasked with the responsibility of safely conveying passengers according to the schedule outlined for their designated routes. This role involves providing transport services to and from various appointments, ensuring a reliable and efficient service. The Specialist will...
-
Clinical Utilization Review Specialist
2 weeks ago
Louisville, Kentucky, United States UofL Health Full timeJob SummaryThe Clinical Utilization Review Specialist performs activities that support the Utilization Management functions at UofL Health. This role is responsible for delivering the Utilization Management process, including making clinical recommendations regarding medical necessity for admission and continued stay, screening patients for client-specific...
-
Regional Healthcare Advocate
4 weeks ago
Louisville, Kentucky, United States First Source LLC Full timeOverview:The Regional Patient Advocate plays a crucial role in evaluating patients on-site at healthcare facilities for eligibility in assistance programs. This position involves traveling within a designated area to provide supplementary support as necessary, and to substitute for Representatives who may be unavailable due to illness, vacation, or other...
-
Peer Support Specialist
2 weeks ago
Louisville, Kentucky, United States UnitedHealth Group Full timeJob SummaryWe are seeking a highly motivated and compassionate Peer Support Specialist to join our team at UnitedHealth Group. As a Peer Support Specialist, you will play a critical role in supporting individuals with mental health conditions and their families in achieving their recovery goals.Key ResponsibilitiesProvide peer support and guidance to...
-
Financial Operations Specialist
3 weeks ago
Louisville, Kentucky, United States PSC- Christian Care Communities Full timeJob DescriptionJob Summary:The Financial Operations Specialist is a key member of the PSC-Christian Care Communities team, responsible for ensuring the timely and efficient billing and collections of account receivables while maintaining compliance with all applicable laws, regulatory, and organizational standards.Key Responsibilities:Prepare and mail...
Regional Medicaid Specialist
3 months ago
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.