Medicaid Specialist
Aperion Care Corporate
Job Description
Job Description
Medicaid Specialist
Job Summary:
We’re seeking a detail‑driven Medicaid Specialist to support our skilled nursing facilities (SNFs) by ensuring accurate Medicaid billing, resolving reimbursement issues, and managing complex eligibility cases. This role is ideal for someone who thrives in a fast‑paced environment, understands Medicaid processes deeply, and enjoys collaborating with facility teams to drive strong financial outcomes.
Essential Duties
Manage and resolve complex Medicaid cases for SNF facilities
Track Medicaid applications, approvals, redeterminations, and admit packs.
Assist facilities with Medicaid applications, redeterminations, and admit packs.
Communicate with residents or families regarding Medicaid documentation or application needs
Document payer activity and follow‑up using company‑approved systems
Collaborate closely with Business Office Managers on admit packs and pending applications
Conduct monthly reviews with the Business Office Manager and Regional Business Office Mangers
Prepare account write‑offs when collection efforts are exhausted
What You Bring
Experience with Medicaid billing, preferably in a skilled nursing or long‑term care environment
Strong understanding of Medicaid eligibility, authorization, and claims processes
Ability to analyze account discrepancies and resolve complex billing issues
Excellent communication skills with facility staff, residents, and families
High attention to detail and strong organizational skills
Proficiency with billing systems and electronic documentation tools
Vacancy posted 8 days ago
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