Medicaid Eligibility Technician

Christian Living Communities•Centennial, CO

2d•$28 - $35

About The Position

The Medicaid Eligibility Technician is responsible for accurately preparing, submitting and follow through for application approval for LTC Medicaid services for skilled nursing long-term care. This includes initial applications and redetermination applications. This role ensures compliance with federal, state, and local regulations while maintaining accurate financial records and timely application.

Requirements

High school diploma or equivalent required; associate or bachelor’s degree in accounting, finance, or related field preferred.
Two plus years of experience in Medicaid eligibility/ billing or a related area.
Knowledge of Medicaid programs
Proficiency with billing software, Microsoft Excel, HER and housing management software (Yardi experience is a plus)
Commitment to delivering a high level of service to internal customers, anticipating their needs and responding to their inquiries with an empathetic, professional and positive demeanor
Skilled at communicating clearly both verbally and in writing, including the ability to provide non‐technical assistance in a simple, straightforward manner
Strong attention to detail and excellent organization skills
Ability to manage multiple priorities and meet deadlines
Excellent written and verbal communication skills.

Nice To Haves

associate or bachelor’s degree in accounting, finance, or related field preferred.
Yardi experience is a plus

Responsibilities

Prepare and submit Medicaid applications for services for eligible residents. coordinating with residents and families to obtain all needed documents for approval including ULTC 100.2.
Must have proven understanding of discretion needed in handling confidential information.
Ability to problem-solve within area of expertise and escalate immediately for assistance when needed for complex issues.
Exhibit patience and high ethical character even while dealing with difficult situations
Monitor Medicaid pending accounts for communication from the county regarding additional information needs.
Track and resolve rejected or denied applications, coordinating with residents and families to obtain all needed documents for approval.
Monitor 5615s for accuracy.
Must show attention to detail and commitment to immediately correcting errors when they are discovered.
Maintains accurate and up to date billing records. May partner with Medicaid Billing Specialist for audits and reporting.
Communicate with Executive Director, Business Office Manager, and Medicaid Billing Specialist any unresolved issues affecting approval.
Serve as a subject matter expert on Medicaid eligibility, providing training and support on these topics when needed. Willingness and ability to exercise teamwork to successfully carry out the work of the organization in alignment with its values
Other duties as assigned.