Care Network -
Job Title: Medicaid Pending Representative Location: Long Island, NY Salary: Dependent on Experience Employment Type: Full-Time, In-Person
Description: We are looking for a motivated individual to join our team as a Medicaid Pending Representative. In this full-time role, you will be responsible for ensuring payer sources for Long-Term Care (LTC) patients, with a primary focus on Medicaid pending and private pay patients.
Responsibilities:
- Verify payer sources, including Medicaid pending and private pay patients.
- Facilitate the Medicaid application process, ensuring timely submission and follow-up.
- Coordinate with residents and responsible parties to obtain necessary documents and signatures.
- Review financial documents, including five years of bank statements.
- Manage patient income setup, asset spend-down, and payment processes.
- Ensure completion of pre-admission screenings (PAS) or equivalent for Medicaid patients.
- Request fair hearings for denied cases and conduct weekly utilization reviews (UR).
- Maintain consistent communication with responsible parties regarding asset balances.
Qualifications:
- High School Diploma
- Detail-oriented
- Strong work ethic and team player
- Strong organizational, multi-tasking, and prioritization skills
To Apply: Please email your resume to .
Referral Program: Do you know someone who would be a good fit for this job? Refer them to us and earn compensation for each successful hire!