Medicaid Customer Service Specialist
Rockville, MD Rockville, MD Full-time Full-time 3 days ago 3 days ago 3 days ago Are you interested in working for a mission-driven organization that continues to grow and is dedicated to providing quality services to its residents? Do you want your next job to offer you the opportunity to serve while allowing you to grow personally and professionally? Explore careers at Charles E.
Smith Life Communities! ABOUT CHARLES E.
SMITH LIFE COMMUNITIES At Charles E.
Smith Life Communities (CESLC), we have team members who live our mission every day to provide quality health care and meaningful life experiences to older adults.
CESLC provides a wide variety of career opportunities on our beautiful 38-acre campus located in Rockville Maryland.
A career at CESLC offers an exciting opportunity to join a nonprofit faith-based organization where our team of over 700 members represent a very wide range of cultural backgrounds, ethnicities and faiths.
OUR MEDICAID CUSTOMER SERVICE SPECIALIST The primary responsibility of this position is to complete the Medicaid application process with our Medicaid Pending families from the initial filing of the Medicaid application through approval.
This role will continue to interact with the families/residents of Medicaid Pending admissions and to be a supportive resource to them in all stages of the Medicaid application process.
Each admission requires a financial meeting and this position will ensure proper notification is provided to the resident and their family regarding their requirements for Hebrew Home to receive payment from the Medicaid payer.
In addition, this position will provide assistance with the county caseworkers and any other entity that impacts the application process, while addressing all financial questions and concerns from residents and their families related to financial coverage at admission and ongoing.
All transactions must be completed in accordance with contractual terms and complex regulations governing private pay, Medicare, Medicaid and Managed Care.
RESPONSIBILITIES -MEDICAID CUSTOMER SERVICE SPECIALIST MUST have experience with MD Medicaid Coordinate with the Resident Accounting Specialist - Medicaid pending, to determine the financial status of each potential Pending Medicaid admission.
Discuss their obligations to guarantee Hebrew Home will be paid for all services rendered.
Provide strong customer service skills to ensure a high level of supportive service to our families by addressing their financial concerns, while assisting with the Medicaid application.
Monitor Resident payments and ensure timely receipt of payment from resident/families.
File Medicaid applications Act as the financial representative (if authorized) to obtain the bank statements and insurance policy information as needed.
EDUCATION & TRAINING-MEDICAID CUSTOMER SERVICE SPECIALIST High school diploma.
Must have a minimum of two (2) years of experience in a health care business office under the Medicaid payer, preferably in a long-term care setting.
Must be proficient in Microsoft Excel, Word and Outlook.
SHIFT AND STATUS This is a FULL TIME NON-EXEMPT position with standard business hours, in the office.
LOCATION This position is based in our Finance Department located in the Dekelboum Building, located at 6121 Montrose Road in Rockville, Maryland.
EMPLOYEE BENEFITS Our total rewards package includes competitive compensation, health benefits, a retirement plan, generous PTO, tuition reimbursement and MORE! 21 DAYS PTO Tuition Reimbursement Pension Plan PLUS a 403 (b) retirement program FREE PARKING Employee Assistance Program-for ALL Associates AND your family to include free resources:
Counseling Services, Legal and Financial Consultations, Mindfulness Training, Child/Elder Care Resources, Health Advocacy and Access to Wellness Coaches COVID-19 RESPONSE We understand that the COVID-19 pandemic has made health and safety in the workplace a top priority for job seekers.
We want to assure you that it is a daily focus for everyone at CESLC.
We have a robust COVID-19 response plan that includes infection control practices with detailed cleaning and PPE guidance; COVID-19 vaccine requirement; rigorous COVID-19 testing protocols for staff and residents; and ongoing staff communication and education.
As part of our health and safety measures, virtually 100% of our associates are fully vaccinated for COVID-19.
Visit this link for more details on the CESLC response to COVID-19:
https:
//www.
smithlifecommunities.
org/coronavirus/.
Estimated Salary: $20 to $28 per hour based on qualifications.
Smith Life Communities! ABOUT CHARLES E.
SMITH LIFE COMMUNITIES At Charles E.
Smith Life Communities (CESLC), we have team members who live our mission every day to provide quality health care and meaningful life experiences to older adults.
CESLC provides a wide variety of career opportunities on our beautiful 38-acre campus located in Rockville Maryland.
A career at CESLC offers an exciting opportunity to join a nonprofit faith-based organization where our team of over 700 members represent a very wide range of cultural backgrounds, ethnicities and faiths.
OUR MEDICAID CUSTOMER SERVICE SPECIALIST The primary responsibility of this position is to complete the Medicaid application process with our Medicaid Pending families from the initial filing of the Medicaid application through approval.
This role will continue to interact with the families/residents of Medicaid Pending admissions and to be a supportive resource to them in all stages of the Medicaid application process.
Each admission requires a financial meeting and this position will ensure proper notification is provided to the resident and their family regarding their requirements for Hebrew Home to receive payment from the Medicaid payer.
In addition, this position will provide assistance with the county caseworkers and any other entity that impacts the application process, while addressing all financial questions and concerns from residents and their families related to financial coverage at admission and ongoing.
All transactions must be completed in accordance with contractual terms and complex regulations governing private pay, Medicare, Medicaid and Managed Care.
RESPONSIBILITIES -MEDICAID CUSTOMER SERVICE SPECIALIST MUST have experience with MD Medicaid Coordinate with the Resident Accounting Specialist - Medicaid pending, to determine the financial status of each potential Pending Medicaid admission.
Discuss their obligations to guarantee Hebrew Home will be paid for all services rendered.
Provide strong customer service skills to ensure a high level of supportive service to our families by addressing their financial concerns, while assisting with the Medicaid application.
Monitor Resident payments and ensure timely receipt of payment from resident/families.
File Medicaid applications Act as the financial representative (if authorized) to obtain the bank statements and insurance policy information as needed.
EDUCATION & TRAINING-MEDICAID CUSTOMER SERVICE SPECIALIST High school diploma.
Must have a minimum of two (2) years of experience in a health care business office under the Medicaid payer, preferably in a long-term care setting.
Must be proficient in Microsoft Excel, Word and Outlook.
SHIFT AND STATUS This is a FULL TIME NON-EXEMPT position with standard business hours, in the office.
LOCATION This position is based in our Finance Department located in the Dekelboum Building, located at 6121 Montrose Road in Rockville, Maryland.
EMPLOYEE BENEFITS Our total rewards package includes competitive compensation, health benefits, a retirement plan, generous PTO, tuition reimbursement and MORE! 21 DAYS PTO Tuition Reimbursement Pension Plan PLUS a 403 (b) retirement program FREE PARKING Employee Assistance Program-for ALL Associates AND your family to include free resources:
Counseling Services, Legal and Financial Consultations, Mindfulness Training, Child/Elder Care Resources, Health Advocacy and Access to Wellness Coaches COVID-19 RESPONSE We understand that the COVID-19 pandemic has made health and safety in the workplace a top priority for job seekers.
We want to assure you that it is a daily focus for everyone at CESLC.
We have a robust COVID-19 response plan that includes infection control practices with detailed cleaning and PPE guidance; COVID-19 vaccine requirement; rigorous COVID-19 testing protocols for staff and residents; and ongoing staff communication and education.
As part of our health and safety measures, virtually 100% of our associates are fully vaccinated for COVID-19.
Visit this link for more details on the CESLC response to COVID-19:
https:
//www.
smithlifecommunities.
org/coronavirus/.
Estimated Salary: $20 to $28 per hour based on qualifications.
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