Medicaid Specialist
Agawam Rehab & Nursing Campus•Agawam, MA
About The Position
Agawam Rehab & Nursing Campus is seeking an experienced Medicaid Specialist to support Medicaid and billing operations across its four skilled nursing locations. The role processes Medicaid applications, supports residents and families through application requirements, and tracks applications through follow-up and resolution. It also manages private billing and outstanding balances, maintains records and aging reports, prepares resident admission agreements, coordinates insurance authorizations and appeals, and ensures documentation complies with applicable state and federal requirements.
Requirements
- Strong communication and organizational skills.
- Excellent attention to detail and ability to manage multiple priorities.
Nice To Haves
- Prior Medicaid processing experience.
- Knowledge of Medicaid, Medicare, managed care, or skilled nursing reimbursement.
Responsibilities
- Process Medicaid applications and verify financial and personal information.
- Communicate with residents and families regarding application requirements.
- Track application status and assist with approvals, denials, and follow-up.
- Manage private billing, outstanding balances, and collections.
- Review monthly aging reports and maintain accurate records.
- Prepare and execute resident admission agreements.
- Coordinate insurance authorizations and appeals.
- Ensure documentation complies with applicable state and federal requirements.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k)
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
