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Carespring Health Care Management · 5 hours ago

LTC-Financial Specialist

Loveland, OH

Full-time

Onsite

Mid Level

$50K/yr - $60K/yr

3+ years exp

Carespring Health Care Management is seeking a Medicaid Specialist to represent assigned locations and assist in obtaining Medicaid eligibility for residents. The role involves reviewing applications, resolving eligibility issues, and advocating for residents and families throughout the Medicaid process.

Health Care

Responsibilities

Review/Complete Financial Disclosure Form (FD) to determine if a resident needs or will need Medicaid assistance

Assess and resolve potential eligibility issues, including but not limited to: need for QIT, CSV of Life Insurance policies

Review for PASSR/LOC completion

Work with facilities, residents, and families to gather necessary verifications to accompany Medicaid application

Review/Complete Medicaid application, once submitted, update billing system with Medicaid pending

Calculate monthly Patient Liability (P/L) and enter into billing system

Collect monthly P/L from residents/families

Educate/advocate/communicate with residents, families, facilities, and county Medicaid offices during the pending process; keeping track of intake appointments, checking status of pending cases, ensure gathering of additional verifications needed, and expedite processing of pending cases

Ensure annual recertifications are completed timely

Maintain electronic records and documentation of pending cases in HCS and maintain accurate pending logs of current cases