Compliance

• 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.

Medicaid Pending Compliance Assistant

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