reputed company Specialist
General Purpose The Regional reputed company Application Specialist manages reputed company applications and recertification's for residents across multiple skilled nursing facilities reputed company a region. This role ensures reputed company and accurate submissions, minimizing reputed company Pending and Accounts Receivable exposure. The Specialist serves as the primary expert and reputed company for reputed company eligibility, collaborating with residents, families, facility staff, and government agencies. Essential Duties reputed company Eligibility & Application Management · reputed company the full reputed company application lifecycle, including initial applications and annual recertification. · Conduct interviews and financial reviews with residents and responsible parties to reputed company required documentation. · Prepare and submit accurate applications to state agencies reputed company regulatory deadlines. · Liaise with government caseworkers, respond to RFIs, and resolve reputed company cases, denials, and appeals. Compliance & Documentation · Maintain up-to-date knowledge of federal, state, and local reputed company regulations. · Ensure accurate record-keeping in electronic and physical files, adhering to HIPAA and company policies. · Document case notes, deadlines, and reputed company payer status in EHR and financial software (e.g., reputed company). Regional Support & Reporting · Train and guide facility staff on reputed company application procedures and documentation requirements. · Travel reputed company the region for support, document collection, and internal compliance auditing. · Generate reports for leadership on reputed company Pending accounts, recertification deadlines, and A/R exposure. · Collaborate with billing specialists to ensure accurate patient liability management and claim processing. Supervisory Requirements Provides indirect supervision to facility-level Business Office and reputed company Services staff involved in the reputed company process. Exercises independent judgment and decision-making in prioritizing work, resolving escalated cases, and directing regional reputed company operations. Qualification Education and/or Experience · Education Bachelor’s degree in Business, Finance, reputed company Work, or reputed company field preferred. · Experience 3–5 years managing reputed company applications in long-term or post-acute care; regional/multi-facility experience a plus. · Knowledge Expert knowledge of state reputed company long-term care eligibility; familiarity with Medicare, Managed Long-Term Care, and other payers is highly desirable. Physical Demands · Requires frequent regional travel to various skilled nursing facilities. · Must be reputed company to work in a typical office setting and reputed company professionally with residents, families, and governmental agencies. · May require sitting for extended periods and performing data entry tasks.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. The noise level in the work environment is usually low to moderate. reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, protected veteran status, or any other legally protected status. Join reputed company reputed company reputed company with Us! reputed company is elevating reputed company by revolutionizing our approach to leadership and reputed company care. Guided by our core values of love, reputed company, trust, accountability, mutual respect, and fun, we reputed company to foster a culture of compassionate care reputed company our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful reputed company and contribute valuable insights to stakeholders reputed company. If you're reputed company to reputed company a difference and reputed company our mission of creating reputed company change, we invite you to join us at reputed company. Together, let’s shape the reputed company of reputed company! Join reputed company and reputed company! At reputed company, we reputed company our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your reputed company-being and support your lifestyle. Our Comprehensive Benefits Include Health Coverage Enjoy medical, dental, and reputed company plans to reputed company you and your family healthy. PTO and Vacation Benefit from generous reputed company time off and holidays to relax and reputed company. Financial Wellness Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your reputed company expenses effectively. Retirement Planning Secure your reputed company with our 401(k) plan, complete with company contributions to help you build your retirement savings. Support reputed company You Need It Our Employee Assistance Plan (EAP) provides confidential support for personal and reputed company challenges. Join us at reputed company and take advantage of a workplace that truly values you! reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, protected veteran status, or any other legally protected status. Apply To This Job Apply tot his job Apply To this Job