Job Overview
We are seeking a dedicated and detail-oriented Medicaid Specialist to join our Long Term Care team. In this vital role, you will serve as a key resource for navigating Medicaid regulations, managing patient records, and ensuring compliance with healthcare policies. Your expertise will help streamline patient services, support case management efforts, and facilitate effective communication with clients from diverse backgrounds. This position offers an exciting opportunity to make a meaningful impact on underserved communities by providing compassionate assistance and expert guidance in Medicaid-related matters.
Duties
- Review and interpret Medicaid regulations to ensure compliance across all patient interactions and documentation processes
- Assist patients with Medicaid enrollment, renewal, and eligibility verification procedures
- Utilize Electronic Health Records (EHR) systems for accurate data entry, medical record management, and documentation of client interactions
- Collaborate with healthcare providers, social workers, and case managers to coordinate discharge planning and ongoing care services
- Conduct intake assessments for new clients, including behavioral health evaluations and social determinants of health screening
- Apply CPT coding, ICD-9, ICD-10 codes, and medical terminology accurately for billing and documentation purposes
- Maintain strict adherence to HIPAA guidelines to protect patient confidentiality and sensitive information
- Communicate effectively with clients from underserved communities, including bilingual support when applicable
- Assist in the review of medical records to ensure completeness and accuracy for billing and compliance audits
Requirements
- Must have Long Term Care Business Office Experience
- Proven experience working in Long Term Care settings or acute care environments with familiarity in medical coding (CPT, ICD-9, ICD-10) and healthcare support functions
- Strong understanding of Medicaid regulations, health insurance policies, and patient service protocols
- Experience working with individuals with co-occurring disorders or mental health conditions; familiarity with behavioral health services is highly desirable
- Knowledge of EMR/EHR systems for efficient data entry, electronic health records management, and documentation workflows
- Excellent client communication skills with a compassionate approach to working with diverse populations including those from underserved communities
- Ability to interpret medical terminology accurately and apply it within medical records and billing processes
- Bilingual skills are preferred to better serve diverse client populations
- Experience in discharge planning, case management, or social work is a plus
- Strong organizational skills with attention to detail in maintaining patient confidentiality and supporting healthcare operations
Join us as a Medicaid Specialist if you’re passionate about improving access to quality healthcare through expert knowledge of Medicaid policies combined with compassionate client support. Your dedication will help ensure that every individual receives the care they deserve while maintaining compliance standards that uphold the integrity of our healthcare system.
Pay: $40,000.00 - $50,000.00 per year
Benefits:
- 401(k) matching
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: Hybrid remote in Sapulpa, OK
