Title: | MEDICAID COORDINATOR |
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ID: | 113951 |
Company: | Fahrney Keedy Memorial Home |
Department: | Finance |
** MEDICAID COORDINATOR **
Full time/ Day Shift/ M-F
$50,000 - $60,000
**Long Term Care Medicaid billing experience a must !! **
JOB TITLE |
Medicaid Coordinator |
DEPARTMENT |
Finance |
REPORTS TO |
VP of Finance |
FLSA STATUS |
Exempt |
ELECTRONIC SIGNATURE / APPROVAL |
Stephen P. Coetzee CEO
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APPROVAL DATE |
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SUMMARY:
- Serves as a liaison for Fahrney-Keedy to coordinate with Social Services, Finance, the resident and family members to ensure education, preparation and proper filing of Medicaid applications is complete.
- Works directly with the resident and/or designee to ensure financial terms of admission agreement are fulfilled.
- Reviews financial data on potential admissions to determine if appropriate from a financial perspective.
- Assists the Finance Team as needed.
- Possesses excellent communication skills with all levels of staff, residents, families, etc.
DELEGATION OF AUTHORITY:
As the Medicaid Coordinator you are delegated the administrative authority, responsibility and accountability necessary for carrying out your assigned duties.
EMPLOYMENT AT WILL:
Employment with Fahrney-Keedy is “at will”. Either the associate or Fahrney-Keedy may terminate the employment relationship for any reason at any time without notice, regardless of the length of employment or the granting of benefits of any kind, including but not limited to benefits which provide for vesting based on length of service.
CONFIDENTIALITY:
Fahrney-Keedy associates recognize that Fahrney-Keedy has and will have information regarding financial, personal and medical affairs and other vital information (collectively, “information”) which are valuable, special and unique assets of Fahrney-Keedy. Associates agree that they will not at any time or in any manner solicit, collect or divulge any information to any third party without the prior written consent of Fahrney-Keedy. This information is Company property which may not be disclosed outside the facility unless properly released for publication. Associates will protect the information and treat it as strictly confidential. Associates should not discuss Fahrney-Keedy affairs with others.
JOB FUNCTION:
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.
ESSENTIAL DUTIES & RESPONSIBILITIES:
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Reviews financial documents of prospective admissions and determines if appropriate for Medicaid based on Fahrney-Keedy guidelines. |
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Develops a good working rapport with people of all ages, their families, and designees. |
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Possesses a solid working relationship with all Fahrney-Keedy departments. |
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Assists residents/families with Maryland Medicaid applications and redeterminations. Monthly Medicaid and Hospice billing as training and directed. |
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Reviews annual financial statements submitted on behalf of residents and address any noted concerns with respective parties. |
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Identifies potential non-payment issues and, if necessary, prepares written report of findings for review and next step determination. |
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Communicate with residents and/or designees on any changes to billing processes or Local/Federal/State regulations. |
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Assists with monthly Medicaid and Hospice billing. |
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Updates and maintains financial records within resident files and financial software. |
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Contacts Medicaid-approved residents/families regarding past due balances and establishes repayment plans for approval as appropriate. |
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Facilitates and manages resident fund accounts. |
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WORKING ENVIRONMENT:
The work environment characteristics described here are representative of those an associate may encounter while performing the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
- Works in office areas as well as throughout the facility.
- Moves intermittently during working hours.
- Subject to frequent interruptions.
- Subject to hostile and emotionally upset residents, family members, visitors, etc.
- May work beyond normal working hours and on weekends and holidays when necessary and may work in other positions when necessary.
- Subject to call-back during emergency conditions (i.e., severe weather, evacuation, post disaster, etc.)
- Is involved with residents, families, designees, visitors, government agencies, staff, etc.
- Is involved in community/civic health matters/projects.
- Attends and participates in educational programs.
- Maintains a liaison with residents, families, staff, etc. to assure that the residents’ needs are continually met.
- Subject to injury from falls, burns from equipment, odors, etc. throughout the workday, as well as reactions from dust, disinfectants, and/or other air contaminants.
RESIDENT RIGHTS:
- Maintains the confidentiality of all resident care information including protected health information. Reports known or suspected incidents of unauthorized disclosure of such information.
- Ensure that you treat all residents fairly with kindness, dignity, and respect.
- Ensures that all nursing care is provided in privacy.
- Knocks and wait for permission to enter all residents’ rooms.
- Reports all grievances and complaints made by the residents to the Nursing Supervisor or Charge Nurse.
- Reports all allegations of resident abuse and/or misappropriation of resident property to the Fahrney-Keedy Abuse Coordinator.
- Honors the resident’s refusal of treatment request. Report such requests to your Supervisor.
SPECIFIC REQUIREMENTS:
- Must be able to read, write, speak and understand the English language.
- Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
- Must be a supportive team member, contribute to and be an example of teamwork and team concept.
- Must possess the ability to make independent decisions when circumstances warrant such action.
- Must possess the ability to deal tactfully with staff, residents, family members, visitors, government agencies/personnel, and the general public.
- Must possess the ability and willingness to work harmoniously with other staff.
- Must have patience, tact, cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
- Must be knowledgeable in the use of computers, data input/retrieval/output functions, etc.
- Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
- Must be able to relate information concerning a resident’s condition.
- Must not pose a direct threat to the health and safety of other individuals in the workplace.
EDUCATION and EXPERIENCE:
- Associates degree or equivalent from a two-year college or technical school.
- One to two years related experience and/or training or equivalent combination of education and experience.
- Knowledge of Maryland Medicaid process preferred.
PHYSICAL & SENSORY REQUIREMENTS (With or Without the Aid of Mechanical Devices):
- Must be able to move intermittently throughout the workday.
- Must be able to speak and write the English language in an understandable manner.
- Must be able to cope with the mental and emotional stress of the position.
- Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
- Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, staff, and support agencies.
- Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
- Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
- Must not have a weight-lifting restriction. Must be able to push, pull, move and/or lift to a minimum height of 5 feet and be able to push, pull, move, and/or carry a minimum distance of 50 feet.
- May be necessary to assist in the evacuation of residents during emergency situations.
ACKNOWLEDGMENT:
I have read this job description and fully understand that the requirements set forth therein have been determined to be essential to this position. I hereby accept the position and agree to perform the tasks outlined in the job description in a safe manner and in accordance with he facility’s established procedures. I understand that as a result of my employment, I may be exposed to blood, body fluids, infectious diseases, air contaminants and hazardous chemicals and that the facility will provide to me instructions on how to prevent and control such exposures. I further understand that I may also be exposed to the Hepatitis B Virus and that the facility will make available to me, free of charge, the Hepatitis B vaccination. I also understand I may not release/disclose protected health or facility information without proper authorization.
I understand that my employment is at-will, and thereby understand that my employment may be terminated at will either by the facility or myself, and that such termination can be made with or without notice.
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