Maryland Medicaid Specialist

Cadia Healthcare-Maryland - Hyattsville, MD

We are in need of a full time Maryland Medicaid Specialist to join our growing team at Cadia Healthcare of Hyattsville!
We provide 24-hour skilled nursing care, inpatient rehabilitation therapies and a variety of other specialized medical services to promote our residents' personal independence and quality of life.

We offer family like work environment with competitive compensation and benefits.

Full-time employees are eligible for below benefits (subject to different waiting periods)
Medical/Dental/Vision insurance
Employer paid life insurance
Employer paid long-term disability insurance
Vacation/Sick/Personal time
401K retirement plan with employer match
Tuition Reimbursement
Onsite Daycare Center with Employee Discount

The Maryland Medicaid Specialist will perform the following duties :

  • Working closely with the Admissions Department, review and verify payor sources of all potential admissions to the long term care facility
  • Responsible completing all long term care screening for Maryland.
  • Meet with resident or responsible party to complete all documentation needed for Maryland and DC Medicaid
  • Coordinate with Maryland case worker weekly to complete long term care application.
  • Ensure that all 257s , level of care and prior authorization are completed and certified prior to upload into the Medicaid system.
  • Update and maintain all records regarding Medicaid pending weekly.
  • Performs any miscellaneous work assignments as may be required.
Education: High school Diploma or GED required. Associate's degree in healthcare administration, business, or other related field preferred but not required.

Experience: Three to Five years experience in Maryland Medicaid process in long term care skilled nursing facility.