Medicaid Specialist
Arcadia Care
Job Summary: We're seeking a detaildriven 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 fastpaced 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 levelofcare statuses
- Assist facilities with Medicaid applications, redeterminations, and admission packets
- Communicate with residents or families regarding Medicaid documentation or application needs
- Prepare and submit all Medicaid claims, adjustments, and turnaround documents
- Identify and resolve payment discrepancies, unpaid claims, and credit balances
- Document payer activity and followup using companyapproved systems
- Monitor and report adverse trends (e.g., authorization failures, recurring denials)
- Collaborate closely with Business Office Managers on eligibility, certifications, and pending applications
- Participate in monthly AR reviews and provide claim status updates to supervisors
- Prepare account writeoffs when collection efforts are exhausted
- Experience with Medicaid billing, preferably in a skilled nursing or longterm 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
- Benefits Offered:
• Extremely low-cost Health, Dental, Vision, 401K, and more
• $25,000 Company Paid Life Insurance - at no cost to you
• Daily Pay - get your money when you want
• Paid Vacations - rolls over each year
• Paid Sick Time
• Paid Holidays
• Tuition Reimbursement
• Daily, Weekly, Monthly Employee Appreciation Events
• Birthday, Anniversary Celebrations
• Free Employee Assistance Programs - professional support & guidance on family, money, health, legal services and more
• Huge Discounts at all major retailers (Walmart, Costco, etc.) at no cost to you
• Virtual Visits with Doctors 24/7, without setting up additional accounts or appointments
• Paid Break Time for Nursing Mothers
• Time Off to Vote
Vacancy posted 3 days ago
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