Top 85 Medicaid coordinator Jobs in Hanover Park, Il

Medicaid Specialist Field Staff
Alden Management Services —Chicago, IL
- $65,000 - $75,000 a year
- Full-time
- Microsoft Outlook
- English
- Mid-level
Quick Apply
Med Staff Svc Coordinator FT HYBRID
Advocate Aurora Health —Oak Brook, IL
- $25.30 - $37.95 an hour
- Full-time
- Microsoft Excel
- Hospital
- Data analysis skills
7d
Qualified Intellectual Disabilities Professional (QIDP)
RAY GRAHAM ASSOCIATION FOR PEOPLE WITH DISABILITIES —Elmhurst, IL
- $24.29 an hour
- Full-time
- Background check
- Clean driving record
- Customer service
- 403(b) matching
- Paid holidays
Quick Apply
Care Coordinator- Bilingual, Spanish- Aurora
Senior Services Associates, Inc —Aurora, IL
- $22.00 - $26.50 an hour
- Full-time
- Background check
- Spanish
- Nursing
- Paid training
- Mileage reimbursement
Quick Apply
Access Center Coordinator
Nephrology Associates of Northern Illinois and Indiana —Addison, IL
- $20 - $25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Quick Apply
Service Coordinator (Part Time)
CJE SeniorLife —Skokie, IL
- $21.63 an hour
- Part-time
- Hybrid work
- English
- Mid-level
- Bachelor's degree
- Employee assistance program
- Retirement plan
Quick Apply
Mental Health Team Coordinator - Community Support Team
Ecker Center for Behavioral Health —Elgin, IL
- $52,000 - $58,240 a year
- Full-time
- Adults
- Mid-level
- 3 years
- Disability insurance
- Health insurance
Quick Apply
Medicaid Billing and Credentialing Coordinator
Lutheran Child and Family Services of Illinois —Oak Brook, IL
- $20 - $25 an hour
- Full-time
- Hybrid work
- HIPAA
- Research
- Mid-level
Quick Apply
Activity Coordinator
Discovery Village Hoffman Estates —Hoffman Estates, IL
- $18 an hour
- Part-time
- Background check
- Microsoft Excel
- Writing skills
- Paid training
- Paid holidays
Quick Apply
8d
UM Administration Coordinator
Humana —Schaumburg, IL
- $44,000 - $57,500 a year
- Nights as needed
- Customer service
- Mid-level
- Office
- Paid parental leave
- Paid holidays
1d
Scheduler & Pre-Access Representative - Sleep Center
Advocate Aurora Health —Barrington, IL
- $20.80 - $31.20 an hour
- Part-time
- Computer literacy
- Writing skills
- Basic math
Social Services Coordinator
Lutheran Life Communities —Arlington Heights, IL
- $58,000 - $64,000 a year
- Full-time
- Background check
- Skilled nursing facility
- Pass drug screening
- Health insurance
- Tuition reimbursement
Quick Apply
3d
Pathways to Success Care Coordinator
Dupage Health —Wheaton, IL
- $44,400 - $52,000 a year
- Full-time
- Spanish
- Driver's License
- Bachelor's degree
- Paid parental leave
- Paid holidays
14d
QI Coordinator
UCAN —Chicago, IL
- $46,000 - $50,000 a year
- Full-time
- Bachelor of Science
- Mid-level
- Analysis skills
- Health savings account
- AD&D insurance
Quick Apply
7d
Aging & Disability Resource Center Coordinator
Oak Park Township —Oak Park, IL
- $45,209 - $59,555 a year
- Online Application
- Experience working with individuals with developmental disabilities
- Word processing
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Pathways to Success Care Coordinator
DuPage County Health Department —Wheaton, IL
- $44,400 - $52,000 a year
- Full-time
- Spanish
- Mid-level
- Driver's License
- Paid parental leave
- Paid holidays
14d
Insurance Coordinator
Fresenius Medical Care —Willowbrook, IL
- $50,000 - $60,000 a year
- Full-time
- Customer service
- Mid-level
- Clinic
- Health insurance
- Dental insurance
Community Care Program Consultant
PurposeCare —Park Ridge, IL
- Urgently hiring
- Remote
- Analysis skills
- Critical & Intensive Care
- Travel
Quick Apply
Bilingual Pathways Care Coordinator
Family Service Association of Greater Elgin —Elgin, IL
- $47,000.40 - $60,941.87 a year
- Full-time
- Spanish
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Account Executive
Joint Commission —Oakbrook Terrace, IL
- $48,000 - $55,000 a year
- Mid-level
- Bachelor's degree
- 1 year

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Medicaid Specialist Field Staff

Alden Management Services -
Chicago, IL

Quick Apply

Job Details

Full-time
$65,000 - $75,000 a year

Qualifications

Microsoft Outlook
Spreadsheets
English
Working with seniors
Medicaid health insurance
Clinical information systems
Working with families
Medicaid regulations
Medicaid

Full Job Description

TITLE: Medicaid Specialist Field Staff

REPORTS TO: Operations Admissions Coordinator

A. JOB SUMMARY

The Medicaid Specialist Field Staff is responsible for overseeing and executing the Medicaid application process for residents, ensuring compliance with eligibility criteria, and documentation standards. This role meets with residents and their families in-person or virtually to obtain, verify, and submit complete and accurate Medicaid applications within required timeframes. The Medicaid Specialist Field Staff serves as the main point of contact throughout the public aid application process and maintains ownership of the application from initiation through submission, mitigating risk of delays, denials, or non-payment by ensuring adherence to existing guidelines, and facility protocols.

B. QUALIFICATIONS

A. Bachelor’s degree in a related field or demonstrated experience with the Medicaid application process or related work, required.

B. Must have advanced working knowledge of the Illinois Public Aid system. Working knowledge of the Wisconsin Public Aid system is preferred.

C. Experience working in long-term care and a working knowledge of related benefit/eligibility portals is preferred.

D. Communicates appropriately, is adaptable to changes in assignments and priorities.

E. Must be able to travel to Alden facilities and work on-site Monday through Friday. Remote work is not available for this role.

F. Must be able to read, write, and speak the English language in an understandable manner.

G. Must have the ability to make independent decisions when circumstances warrant such actions.

H. Must possess the ability to deal tactfully with families, residents, visitors, personnel, regulatory agencies, and the general public.

I. Must possess patience, tact, a cheerful disposition, and enthusiasm.

J. Must have proficiency using computers and standard office software such as Microsoft Excel, Microsoft Outlook, and EMR systems and posses the ability to learn new software systems as needed.

C. PHYSICAL REQUIREMENTS

A. Must be able to move intermittently throughout the work day.

B. Must be able to cope with the mental and emotional stress of the position.

C. Must possess sight/ hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.

D. Must be in good general health and demonstrate emotional stability.

E. Must be able to relate well and work with the ill, disabled, elderly, emotionally upset and at times hostile people within the facility.

F. Prolonged standing/walking is required.

G. May be required to lift, push, pull, and move equipment, supplies, etc., throughout the day.

H. Is subject to exposure to infectious waste, diseases, conditions, etc., including exposure to the (HIV) AIDS and Hepatitis B viruses.

D. ESSENTIAL FUNCTIONS

A. Prior to admission, contact public aid pending residents and/or their responsibly party to obtain necessary information, documents, forms, and financial information needed to initiate the Public Aid (i.e. Social Security award letters, pension information, bank statements, etc.).

B. Monitor PCC daily for respective facilities to identify payer changes and to identify residents who need to apply for Medicaid.

C. Contact the resident and/or responsible party within 48 hours of admission, or within 48 hours of being notified of a payer status change to inform them of their financial responsibilities and complete the Income Due Alden Form (if necessary), 2998 and 3654 and to discuss the Medicaid qualifications and document requirements. Provide a copy of the public aid checklist and explain the checklist in detail to ensure understanding of their financial responsibilities.

D. Contact the resident and/or responsible party weekly (every 5 days) to assist in gathering necessary documentation (i.e. bank statements, social security, pension, etc.) and review provided documentation for accuracy upon receipt. Continue to follow up weekly (every 5 days) until the public aid application is completed, submitted, and accepted.

E. If unable to contact a resident or their responsible party after consistent attempts for a period of two weeks, escalate the situation by scheduling a meeting with the facility Administrator, Admission Director and Social Service Director to review the case and discuss potential guardianship needs.

F. Maintain accurate documentation in EMR or related system regarding the progress and status of the application process and detailed documentation of all follow up communication with the resident and/or their responsible party.

G. Once all documentation is obtained, complete and submit the Application for Benefit Eligibility (ABE) using information provided by the resident and/or their responsible party, ensure a copy of submitted application is uploaded to the EMR, and monitor the application status by checking the eligibility portal (One Source or Medi) on a weekly basis. Once submitted, notify the PA Coordinator via email.

V. JOB DUTIES

A. If an asset spenddown is necessary, guide the resident and/or their responsible party in spending money appropriately.

B. Respond to all DHS requests and gather additional information as necessary.

C. Communicate regularly with the facility for updates on Notices of Decision.

D. Review approval letters for accuracy and upload to EMR.

E. Review denials and file an appeal within 60 days from the date of the denial notice.

F. Attend telephonic appeal meetings and present the case to the Bureau of Hearings.

G. Assist with the Medicaid Redetermination process by communicating with residents and/or their responsible parties to obtain documents needed to successfully complete the REDE for active residents.

H. Work with resident and/or their responsibly party to collect and review all documents requested by OIG for pending cases and submit requested documentation in a timely manner.

I. Perform other duties as assigned.

Quick Apply

Refine Your Search

medicaid coordinator jobs in hanover park, il

Medicaid Specialist Field Staff

Med Staff Svc Coordinator FT HYBRID

Qualified Intellectual Disabilities Professional (QIDP)

Care Coordinator- Bilingual, Spanish- Aurora

Access Center Coordinator

Service Coordinator (Part Time)

Mental Health Team Coordinator - Community Support Team

Medicaid Billing and Credentialing Coordinator

Activity Coordinator

UM Administration Coordinator

Scheduler & Pre-Access Representative - Sleep Center

Social Services Coordinator

Pathways to Success Care Coordinator

QI Coordinator

Aging & Disability Resource Center Coordinator

Pathways to Success Care Coordinator

Insurance Coordinator

Community Care Program Consultant

Bilingual Pathways Care Coordinator

Account Executive

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