Medicaid Pending Compliance Assistant

3 days ago

🌪️ Kansas – Remote

Although this job is listed in Kansas, this company may be open to hiring remote in other states.

🏰 Missouri – Remote

Although this job is listed in Missouri, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

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Tutera Senior Living and Health Care

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Healthcare Insurance • Non-profit • Wellness

Tutera Senior Living and Health Care is a company that provides high-quality senior living and healthcare services to older adults. They focus on creating a welcoming environment that promotes independence, well-being, and a high quality of life for their residents. With a team of dedicated professionals, Tutera offers various living options and healthcare solutions tailored to the individual needs of seniors.

1001 - 5000 employees

Founded 1983

⚕️ Healthcare Insurance

🤝 Non-profit

🧘 Wellness

📋 Description

• Provide critical administrative and operational support to the Medicaid Pending Compliance Manager in overseeing pending Medicaid accounts for multiple Skilled Nursing Facilities (SNFs). • Help ensure timely and accurate processing of Medicaid applications, assists with follow-ups, maintains organized documentation, and facilitates communication between facilities, families, and Medicaid agencies. • Assist with tracking and maintaining Medicaid Pending reports for assigned SNF facilities. • Follow up with facility Business Office Managers, Social Workers, residents, and families regarding required Medicaid application documents. • Prepare, review, and organize Medicaid application packets to ensure completeness before submission. • Maintain accurate electronic and paper files of all Medicaid Pending cases, ensuring compliance with company policy and HIPAA regulations. • Help schedule and coordinate meetings, trainings, and conference calls related to Medicaid Pending accounts. • Support the Medicaid Pending Compliance Manager in monitoring aging reports and identifying at-risk accounts. • Communicate with Medicaid agencies, third-party vendors, and internal teams to obtain updates and resolve pending issues. • Assist in generating regular reports and summaries of Medicaid Pending account statuses for leadership. • Perform data entry, scanning, and document management tasks related to resident financial and application records. • Stay informed of Medicaid process updates and contribute to the dissemination of information to facility teams.

🎯 Requirements

• A fire and passion for working with seniors • A flexible, fun, and energetic personality • High school diploma or equivalent required; Associate's degree in Business, Healthcare Administration, or related field preferred. • 5 years of experience in a SNF healthcare business office, Medicaid processing, and long-term care environment required. • Strong organizational skills with the ability to manage multiple priorities and meet deadlines. • Proficient in Microsoft Office Suite (Excel, Word, Outlook) and document management systems. • Familiarity with billing or EMR systems such as PointClickCare is a plus. • Strong attention to detail and ability to maintain confidentiality. • Ability to work independently and collaboratively with remote and on-site teams. • Strong analytical skills and attention to detail required. • Professional image in both appearance and behavior • Excellent written and oral communication skills.

🏖️ Benefits

• Health Insurance • Dental Insurance • Vision Insurance • Life Insurance • Accident Insurance • Critical Illness Insurance • Cancer Insurance • Short Term and Long Term Disability • 401(k) with Matching Contributions • Tuition Reimbursement • Paid Time Off • Holiday Pay • Birthday Day Off • Exclusive Tutera Perks • Advancement Opportunities & More!