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Medicaid Eligibility Support Coordinator

Role overview

Qualifications

  • College Degree Preferred

Responsibilities

  • Manage the full Medicaid application process for new and converting residents
  • Gather documents, submit applications, and track cases through approval/denial
  • Communicate with families, explain the process, and gather required documents
  • Submit applications within 30 days and maintain accurate records

Key facts

Other skills

  • Communication
  • Detail Oriented
  • Collaboration
  • Proactivity

About the company

Genesis logo

Genesis

As a premier care provider since 1985, Genesis HealthCare offers a variety of compassionate care services to patients and residents in our Centers, and their families. Genesis HealthCare includes: Skilled Nursing Centers, Assisted/Senior living Communities, and our Genesis Rehab Services division, which provides contract therapy to healthcare providers throughout the United States as well as select international locations. At Genesis, our growing and diverse team of employees change the lives of our guests and residents each day. Keeping them vital, active and independent serves as daily inspiration as to why they chose Genesis in the first place – to change lives, including their own. Getting people back to a healthier state is our promise and what motivates us. Every day is life changing. Genesis takes the safety of our patients, residents and our employees seriously. We are now requiring universal COVID-19 vaccination for all employees, care partners and onsite vendors. As a leader in the healthcare industry, we believe it is our responsibility to provide the safest and most effective course of action to ensure the welfare of our patients, residents, employees, families and the communities we serve. And, we stand with the growing number of experts, institutions, and companies that support the requirement for universal COVID-19 vaccination. View all of our job opportunities at www.genesiscareers.jobs.

Company details

Company typeXLarge
Company size10001

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Job description

Overview:

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.

Responsibilities:

We are seeking a detail-oriented Medicaid Eligibility Support Coordinator to manage the full Medicaid application process for new and converting residents for an assigned group of nursing centers. Duties in this remote role include gathering documents, submitting applications, tracking cases through approval/denial, and managing Medicaid Pending accounts receivable. 

 

Position Highlights
* Manage the financial and clinical aspects of the Medicaid application process.
* Proactively identify residents needing Medicaid.
* Communicate with families, explain the process, and gather required documents.
* Obtain necessary authorizations and coordinate the collection of financial documentation.
* Collaborate with nursing center staff on clinical eligibility.
* Submit applications within 30 days and maintain accurate records.
* Monitor application progress and respond to information requests.
* Track cases in an Open Caseload Report/PCC.
* Escalate complex cases and coordinate referrals as needed.
* Inform relevant parties of denials and coverage gaps.
* Encourage Resident Fund Management/Direct Deposit and complete spousal estimates.
* Participate in case and aging reviews.
* Conduct weekly calls with Business Office personnel.

Qualifications:

 Education: College Degree Preferred 

Benefits:

*Variable compensation plans
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardships
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

*Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members

*On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

 

We also offer several voluntary insurances such as:
*Pet Insurance
*Term and Whole Life Insurance
*Short-term Disability
*Hospital Indemnity
*Personal Accident
*Critical Illness
*Cancer Coverage

 

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

 

Posted Salary Range: USD $55,000.00 - USD $58,000.00 /Yr.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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