Medicaid Coordinator - Norwood Crossing

Norwood Crossing 6016

North Nina Ave.

Chicago, Illinois 60631

Hours for this position are: Day shift (mostly), M-F (mostly). 

Norwood Crossing is a nonprofit healthcare organization specializing in quality senior care. Our facility is located on the northwest side of Chicago in the quaint neighborhood of Norwood Park. Our organization is seeking a Medicaid Coordinator. Our ideal candidate will have a thorough knowledge of the Illinois Medicaid program application and recertification process, the MEDI system and the MLTSS and MMAI programs.

Responsibilities

• Complete with new applications, requests for additional information, annual re-certifications and change in status.
• Track status of pending Medicaid cases with DHS and provide additional information as requested.
• Provide additional documentation and follow up as required for cases sent to the Office of the Inspector General.
• Monitor the outcome of completed cases and determine if entitlement is correct.
• Work with DHS caseworker to ensure timely payment of benefits and resolve any issues related to ongoing payment.
• Attend all hearings/appeals related to Medicaid applications.
• Maintain log of pending Medicaid applications and enter notes in billing system (Point Click Care).
• Process admissions after application is approved and monitor enrollment in a managed care plan on an ongoing basis.
• Keep management team informed of Medicaid approvals, pending or other issues with cases that may arise.
• Assist residents/families with acquiring the necessary documentation needed to complete a Medicaid application. Provides assistance with obtaining Social Security information, life insurance valuation reports, banking documents, investment and/or annuity account reports, medical insurance, pre-need burial information, cemetery deeds, and stocks/bonds valuation and surrender information. 
• Remain current with Medicaid regulatory changes and incorporate those changes into workload, including any changes to Managed Care payment model.
• Work with Accounting Department to track spend downs, obtain Accounts Receivable history and referrals about residents who may need to apply for Medicaid within the next twelve months.
• Communication with resident/families is critical.
• Perform other assigned tasks, both related and unrelated to essential duties and responsibilities.

Qualifications

• High School diploma or equivalent required.
• Minimum two years' experience processing SNF Medicaid applications.
• Ability to communicate clearly both verbally and in writing.
• Ability to work with minimum supervision and adhere to strict deadlines.
• Exceptional organizational skills
• High level of PC literacy is required, including Microsoft Office applications.
• Experience with Point Click Care preferred.
• Strong interpersonal skills to interface with co-workers, residents and families.
• Flexibility and adaptability to the demands and requirements of a fast-paced environment with multiple priorities.

Benefits

• Medical, dental, life insurance and vision coverage available for full time employees.
• 401k plan, flexible spending account, credit union membership, annual wellness screening, flu vaccines.
• Tuition reimbursement ($2000.00) for full time employees after one year
• Free parking. Free Meal on shift.
• Close public transit, Metra, Blue Line, Busses