Medicaid Specialist Skilled Nursing

Are you a Nursing Home Medicaid EXPERT?

Sweetwater Care is currently seeking a full time Medicaid Pending Specialist to assist in the completion of Medicaid applications, conversions, and reviews in various facilities in Montana.

Duties include:

• Responsible for working Pending Medicaid applications and re-determinations in order to ensure financial eligibility.

• Processing of all appropriate forms applicable to the Montana state requirements

• Meet and work with residents/families in timely manner, per policy

• Monitor and document the progress of the pending Medicaid cases

• Communicate resident responsibility, discuss Patient Liability payments, per policy

• Respond to denials, which may include attendance of appeals or submission of reapplication

• Work in collaboration with the facility Business Office staff to coordinate efforts to approval

• Prepare reports and attend Medicaid Pending meetings with Regional team

Requirements include:

• Strong knowledge of the Medicaid application process and requirements

• Must have strong organizational skills with high level notice of details

• Good verbal and written communication skills

• Must have reliable means of transportation
  
  
• Frequent travel to facilities and various governmental offices