Job Information
Masonicare Medicaid Application Specialist in Wallingford, Connecticut
Medicaid Application Specialist Job Location: Wallingford Center, Connecticut
Medicaid Application Specialist
Masonicare Health Center - Wallingford, CT
Day Shift / 40hrs/wk
Assists residents with the Medicaid application process. Responsible for Medicaid pending, Medicaid ineligible, self-pay, skilled nursing & residential home accounts. Perform daily banking procedures on resident/patient accounts.
Essential Duties and Responsibilities:
Attends family meeting as necessary to assist with completion of financial paperwork and to discuss financial obligations; collecting required pre-payments.
Medicaid Expeditor; responsible for referral processes to Medicaid4You
Monitors payer status for all pending and/or ineligible residents. Issues 30 day notices of noncompliance when residents do not meet financial or application requirements.
Requests petition of conservatorship as necessary and forwards accounts to legal and collection representatives as deemed necessary.
Review AR accounts for legal and collection agency, start file for legal turnover and attend Probate court and Superior Court.
Serve as the liaison between Finance and our internal customers for patient and resident account issues. Work with Administrator, Finance and Billing Manager to review opportunities to improve/ increase revenue or efficiency opportunities.
Communicate effectively and tactfully with residents/patients recognizing their age, needs and abilities. Assure prompt resolution to questions or issues presented by resident/patients and other family members.
Provide support to the Finance division for year-end bad debt reporting.
Perform additional duties as directed by the Manager, Healthcare Services Billing
Minimum Qualifications:
Education: An equivalent combination of education and experience will be considered if related to the specified duties and responsibilities.
Experience: Seven to ten years of experience directly related to skilled nursing and boarding home healthcare revenue cycle activities.
Job ID: 12097
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