Role Description We are seeking a detail-oriented Medicaid Eligibility Support Coordinator to manage the full Medicaid application process for new and converting residents for an assigned group of nursing centers. Duties in this remote role include:

• Gathering documents
• Submitting applications
• Tracking cases through approval/denial
• Managing Medicaid Pending accounts receivable

Position Highlights:

• Manage the financial and clinical aspects of the Medicaid application process.
• Proactively identify residents needing Medicaid.
• Communicate with families, explain the process, and gather required documents.
• Obtain necessary authorizations and coordinate the collection of financial documentation.
• Collaborate with nursing center staff on clinical eligibility.
• Submit applications within 30 days and maintain accurate records.
• Monitor application progress and respond to information requests.
• Track cases in an Open Caseload Report/PCC.
• Escalate complex cases and coordinate referrals as needed.
• Inform relevant parties of denials and coverage gaps.
• Encourage Resident Fund Management/Direct Deposit and complete spousal estimates.
• Participate in case and aging reviews.
• Conduct weekly calls with Business Office personnel.

Qualifications

• Education: College Degree Preferred

Benefits

• Variable compensation plans
• Tuition, Travel, and Wireless Service Discounts
• Employee Assistance Program to support mental health
• Employee Foundation to financially assist through unforeseen hardships
• Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
• Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
• On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
• We also offer several voluntary insurances such as:
• Pet Insurance
• Term and Whole Life Insurance
• Short-term Disability
• Hospital Indemnity
• Personal Accident
• Critical Illness
• Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service. Posted Salary Range USD $40,000.00 - USD $45,000.00 /Yr.