LTC-Financial Specialist

Carespring•Loveland, OH

3d•$50,000 - $60,000

About The Position

OBJECTIVE : To represent assigned Carespring locations through interactions with facilities, residents, families, and county Medicaid offices, while working to obtain Medicaid eligibility for residents. Financial Specialists review, submit, and follow up on applications and verification documentation in pursuit of Medicaid eligibility. Financial Specialists serve as a resource and advocate for facilities, residents and families with a constant pursuit of opportunities to support positive outcomes with the Medicaid process.

Requirements

In-depth knowledge of Medicaid eligibility requirements.
At least 3 years relevant Medicaid experience.
Candidates should be solution focused working towards outcomes that positively impact the resident, families, and facilities.

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.