Are you a Nursing Home Medicaid EXPERT?
Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of Medicaid applications, conversions, and reviews in various facilities in Massachusetts.

REQUIREMENTS INCLUDE:

• Strong knowledge of the Medicaid application process and requirements
• Must have strong organizational skills with high level notice of details
• Good verbal and written communication skills
• Must have reliable means of transportation

• Responsible for working Pending Medicaid applications and re-determinations in order to ensure financial eligibility.
• Processing of all appropriate forms applicable to the Massachusetts state requirements
• Meet and work with residents/families in timely manner, per policy
• Monitor and document the progress of the pending Medicaid cases
• Communicate resident responsibility, discuss Patient Liability payments, per policy
• Respond to denials, which may include attendance of appeals or submission of reapplication
• Work in collaboration with the facility Business Office staff to coordinate efforts to approval
• Prepare reports and attend Medicaid Pending meetings with Regional team