Description

Medicaid Coordinator

SHIFT: Full-Time/ 37.5 hour per week

BENEFITS:

• Weekly Paychecks

• Referral Bonuses

• Peer Mentorship

• Generous Paid Time Off

JOB DESCRIPTION:

A Medicaid Coordinator assists residents/responsible parties with Medicaid applications to assure that the facility can bill for services provided. Maintain financial systems in compliance with federal, state and local requirements.

+ + Coordinate with Admissions, Social Workers and Business Office to educate residents/families about the availability of Medicaid benefits

• Maintain continuous communication with the Department of Social Service and fulfill their requests for required documents (including but not limited to the 3559 form)

• Maintain continuous communication with the resident, responsible party, outside attorney, facility attorney or outside provider if the application was completed with someone other than the Medicaid Coordinator, in conjunction with the Business Office Manager.

• Request and obtain Medicaid required documents from banks, credit unions, investment firm, funeral homes, government agencies,….on the resident’s behalf.

• Document each step of the process and progress made on each case and enter updates/comments in PCC.

• Report and involve supervisor when encountering difficult situations such as uncooperative families, gifting, asset transfers, sanctions and/or non-payment of NAMI (estimated).

• Enter an estimated NAMI into PCC and if no NAMI is confirmed enter $1K and apply for Rep Payee (or notify the Business Office to apply for Rep Payee) if applicable.

• Follow through on each case until the County made a decision.

• Document all in/out going calls in the billing collection module.

• Maintain and upload a clear and logical filing system of all written communication.

• Respect and adhere to rules & regulations regarding resident right

• Maintain HIPAA privacy, security and confidentiality standard

• Follow all established policies and procedure

• Follow universal Precautions and Infection Control technique

• Maintain Corporate Compliance standard

• Other tasks as assigned by department head

• Evaluate each account to determine if the account will be forwarded to an outside company, at the resident’s expense, to apply on their behalf or if the account will be processed with the assistance of the facility Medicaid Coordinator. Obtain authorization to represent and initiate the application process

REQUIREMENTS:

• Associate college degree or a minimum of 2 years of experience in addition to a combination of continued education, and/or related work experience.

• Demonstrated ability to be organized, resourceful, self-motivated and has good communication skills

• Ability to travel among the facilities as needed

Qualifications

Education

Required

• High School or better

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)