We are a leader in the long-term care industry operating in 6 different states. It is our commitment to the care of our residents and our staff that sets us apart from the rest. From the development of our Scratch Kitchens to the Saber Foundation Employee Hardship program, we are committed to the care and attention of everyone we serve!

We are looking for strong individuals to join our team! Come work for a growing company, who appreciates the value of its team members!

Advantages:

• Flexible working hours
• Excellent wages and benefits
• IT support

POSITION SUMMARY:

The Field Medicaid Specialist supports and develops the Business Office staff of communities to ensure the timely and accurate Revenue Cycle Process as it relates to Medicaid Pending. The Field Medicaid Specialist works in conjunction with and supports the Revenue Cycle Department as it relates to Medicaid Pending.

Qualifications:

• Must be able to cover facilities around the Pittsburgh area as well as facilities in Eastern Ohio
• Have two (2) or more years of Long-Term Care experience as it relates to Revenue Cycle
• Must possess knowledge of multi-state Medicaid eligibility requirements, from the application through the appeal process
• Must be able to travel to facilities 2-3 days a week
• Must possess and demonstrate the ability to carry out both verbal and written directions
• Must possess and demonstrate good interpersonal skills and attention to detail
• Open to working beyond normal business hours, when necessary and approved by the Company
• Must possess and demonstrate strong computer skills (Microsoft Office, Excel, etc.)
• Ability to communicate in a positive manner, with tact, professionally, effectively, and efficiently with communities, management, agencies and other members of the Company
• Great multi-tasker, staying organized, managing time and multiple priorities in order to succeed and meet all deadlines and requirements
• Must possess the ability to make independent decisions and exercise discretion
• Must possess the ability and willingness to work harmoniously with other personnel and management
• Must be able to cope with the mental, emotional and physical stress of the position

Responsibilities:

• Develop, support and assist communities in relation to Business Office functions while adhering to all applicable legal requirements, standards, policies and procedures, including but not limited to those within the Compliance Process, Code of Conduct and HIPAA.
• Answer and respond to all inquiries by communities and management teams of the communities in a timely manner.
• Assist management teams of the communities in the management and direction of the Business Office Manager, as it relates to the Medicaid eligibility process.
• Consults with and advises Administrators of communities and Divisional Directors with respect to interviewing, training, directing, appraising, planning the work of, as well as determining the techniques of employees in the Business Office of the communities, including the Business Office Manager.
• Perform routine and periodic Business Office audits as directed.
• Complete and/or attend all training and education as assigned and as otherwise required by the Company, management, applicable law, rule, and/or regulations.
• Perform other related duties as directed by Director of Medicaid Eligibility.
• Maintain confidential information. Be trusted to keep all confidential payroll data safe and secure.
• Support the communities with all revenue cycle inquiries including knowledge and awareness of Revenue Cycle support.
• Consults with and advises the management teams of the communities with respect to policies and procedures and provides recommendations regarding potential revisions and changes to same.
• Adhere to the Company's Code of Conduct, Business Ethics policy, HIPAA Privacy and Security policies, Corporate and department policies and procedures, including documentation and reporting responsibilities.
• Maintain regular attendance, unless excused under the Company’s attendance policy, and/or as required under the Family and Medical Leave Act, or as a reasonable accommodation under the Americans with Disabilities Act, or as excused under other applicable law, with advance notice of absence as required by Company policy to the extent permitted by applicable law

Shifts and Wages:

• Full-Time Opportunity
• Shift: Days
• Competitive Wage

Benefits and Perks*:

• Eligible for benefits the first of the month following 30 days
• Comprehensive benefit packages including medical, dental and vision
• 401K through Fidelity
• Paid Time Off (PTO)
• Educational and tuition opportunities
• Various Discount Programs Offered
• Employee Recognition Programs
• Culture of employees creating an IMPACT!

• Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.

We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, age and military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.