What are the responsibilities and job description for the Billing Specialist position at Solaris Licensing?
We’re now hiring a Billing Specialist to help us continue delivering top-notch service to our clients and make a lasting impact. If you’re ready to contribute to a company that truly believes in doing what’s right, apply today!
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Medicaid Specialist Job Summary:
The Medicaid Specialist will help determine
client eligibility for financial assistance through the Medicaid program
through interactive interviewing and fact gathering for all out of state
referrals with either no primary payor or special needs which will convert to
Medicaid long-term care. This role is assigned to focus on referrals
originating from outside the state as well as any in-state difficulty, Medicaid
Pending cases and pending cases lacking a Business Office Manager. The Medicaid
Specialist works collaboratively with the Centralized Admission Intake and
Business Development teams on the financial review of referrals.
Medicaid Specialist Major Duties and
Responsibilities
- File Medicaid applications for benefits
according to State and Federal guidelines for all new admissions admitting
Medicaid Pending as a primary for all out of state primary and /or as a
secondary Medicaid pending payors.
- Assist in filing Medicaid applications
for admissions admitting Medicaid Pending or anyone transitioning to Medicaid
Pending at designated facilities with no available Business Office Manager
- Interview and discuss Medicaid process
with applicants and/or responsible parties to determine eligibility status.
This may be done collaboratively with the admissions and business office in the
facility.
- Review Medicaid checklist with out of
state applicants and/or responsible parties to determine eligibility of an
approval or denial. This also applies to any in-state cases assigned in the
absence of a business office manager, as assigned.
Medicaid Specialist Required Education and Experience:
- High School Diploma or GED, some college
coursework preferred
- At least 3-5 years of experience
compiling documentation and submitting Medicaid applications on behalf of long-
term care facility.
- Must be computer literate and proficient
in Microsoft Office, Excel and Word
- Knowledge of PCC
- Strong written, verbal, and interpersonal
communication skills
- Should be very detailed and organized