• Medicaid Specialist

    National Health Care Associates (East Hartford, CT)


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    A Great Place to Work

     

    Riverside is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team!

     

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    Business Office /AR2/ Medicaid Specialist

    40 hour position

     

    The position is responsible to support the Business Office in processing Medicaid Pending Applications, Applied Income discrepancies and Back Up to Resident Trust

    Recommended Minimum Position Qualifications

    + 1 year experience in LTC Medicaid

    + 1-3 years of billing and collections in a long term care setting or other healthcare environment

    + The ability to handle multiple priorities and possess strong communication skills.

    + Excellent organization skills

    + General Knowledge of Medicare, Medicaid, Pending, Applied Income and Managed Care billing

    + Good working knowledge of Excel, Word, Outlook, Electronic Claim Submission, and Billing Software programs

    Essential Duties and Responsibilities

    + Process and assist with processing of Medicaid applications

    + Collect Applied Income and Private Balances including advanced monthly billing and follow up

    + Resolve discrepancies in Applied Income

    + Scanning of all Medicaid documents in PCC

    + Attend weekly AR meeting with Administrator to review cases

    + Prepare and post daily deposits for Resident Trust Account

    + Attend 72 hour meetings to go over requirements of applied income and Medicaid for any resident admitted (ie: offer QMB or LTC when applicable)

    + Managed Care Claims ( follow up; appeals etc to ensure payment)

    + Managed Care Copay billing to private, insurance and Medicaid

    + Other duties as directed by Business Office Manager

     

    Our candidate should be a team player to work with the Business Office Manager and other facility team members to ensure the facility is successful in AR collections

     

    \#Tier1

     

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    What We Offer

    As an affiliate of National Health Care, our Riverside team enjoys:

    + Competitive compensation and benefits package including a 10% defined contribution retirement plan

    + Comprehensive training and mentorship

    + Opportunities for professional growth and development

    + Supportive and collaborative work environment

    + The chance to make a meaningful difference in the lives of our residents

     

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    What You'll Bring:

    Qualifications of a Medicaid Specialist include:

    + 1 year processing Medicaid applications and billing in a Long-Term Care setting

    + Familiarity with healthcare billing practices, regulations, and relevant software applications (e.g. billing systems, electronic medical records)

    + Excellent interpersonal and communication skills

    + Proficient in using office equipment and computer applications (Microsoft Excel, Word, Outlook)

    + Deadline driven, detail-oriented individual able to handle multiple priorities

    + Ability to work effectively in a fast-paced, team environment

     

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    We Hire for Heart!

     

    National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: **Kindness, Service, Compassion and Excellence.** Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.

     

    _All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status._

     

    **ID** _2025-4820_

    **Location/Org Data : Name** _Riverside Health & Rehabilitation Center_

    **Category** _Accounting/Finance_

    **Position Type** _Full-Time_