Traveling Medicaid Pending Specialist

SLP Operations, LLC operates 45+ skilled nursing centers in Texas and Oklahoma. At SLP Operations, LLC, we believe everyone deserves a great life, including you. Our commitment is to provide love, attention, and optimal care one resident at a time. We realize consistently fulfilling this commitment depends on the success of caring professionals like you, who build their careers with us. Together, we are setting the standard in the delivery of rehabilitation, quality post-acute services and long-term care.

Benefits:

• Medical, vision, and dental insurance
• Employer-paid life insurance
• Paid time off
• Paid holidays
• Flexible schedules
• Opportunity to build a meaningful career

Summary:

Under the supervision of the Medicaid Pending Manager, the Traveling Medicaid Pending Specialist will travel to centers, to help assess whether individuals qualify for nursing home Medicaid. The Traveling Medicaid Pending Specialist may work with Medicare, Medicaid, Disability, and other government-sponsored programs. The Traveling Medicaid Pending Specialist my also provide training, support, and guidance to centers who accept Medicaid Pending individuals.

Responsibilities:

• Monitor Medicaid residents at risk for disqualification on annual renewal applications
• Monitor Trust Fund for Medicaid residents to ensure not over the resource limit
• Assist centers with completing Medicaid renewal application yearly
• Monitor the status of Medicaid/SSI applications and provide documented updates on each account.
• Assist with center accounts receivable reviews, and provide guidance on complex Medicaid/SSI Pending accounts
• Ensure payers are accurate for all Medicaid/SSI Pending, approved, and denied cases as needed.
• Assist with sending weekly communication tool, document response, as needed
• Review Medicaid applications and documents for newly admitted residents, to ensure eligibility.
• Communicate with the BOM, RAM, state Medicaid and Social Security office to follow up on Medicaid/SSI applicants, as needed
• Support the BOM in providing consultation, guidance, and oversight of the Medicaid/SSI process
• Support the RAM by assisting with orientation and training of the BOM on the Medicaid/SSI processes as needed.
• Communicate with residents/responsible party regarding Medicaid Applications and associated documents
• Travel to SLP centers in Texas and Oklahoma
• Attend training, meetings, and seminars when necessary.
• Other duties as assigned

Qualifications:

• High school diploma required; college degree preferred
• Experience working in a long-term health care preferred
• Extensive knowledge and experience in the collection of healthcare accounts receivable Comprehensive knowledge of Medicaid and Medicare billing processes and systems
• Knowledge of Medicaid eligibility process
• Possess a strong background in business office-related systems and software
• Strong general knowledge of computer systems
• Basic knowledge of human resource and payroll processes
• Basic knowledge of Resident Trust Fund activities