Medicaid Specialist Resume Example
Medicaid Specialist with a focus on developing high standards of practice, evaluating policies for effectiveness, auditing financial information and implementing necessary changes to programs and policies. Committed to improvement of financial outcomes for families and facilities.
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Albuquerque , NM
Reviewed Medicaid process at facility level. Implemented new software to track Medicaid applications for over one hundred facilities. Trained staff involved in the Medicaid pending process. Served as liaison between management, facilities, agencies and the community.
Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations.
Established and maintained positive relationships with government regulators, residents, families, other area health care providers, physicians and community at large.
Albuquerque , NM
Case management for residents of Assisted Living Facilities and Skilled Nursing Facilities. Worked with hospitals, case managers, admission personnel and families to ensure proper placement of clients. Assisted families and skilled nursing facilities in Medicaid application process from start to finish. Trained staff in the Medicaid process. Completed all Medicaid applications. Executed documents for trusts and Guardianship annual accounting. Monthly network meetings for DCF and AHCA updates.
City , STATE
Review Medicaid process at facility level. Completed quarterly audits for admissions, business office and social services. Completed quarterly training for new employees involved in the Medicaid process. Wrote detailed reports for management team for each facility visit. Conducted weekly conference calls with challenging facilities. Maintained updates on new policies and procedures within DCF, Department of Elder Affairs and AHCA. Networked with State and Local agencies. Cooperated with other health related agencies and organizations in community activities.
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Resume Overview
School Attended
- Eastern Kentucky University
Job Titles Held:
- Medicaid Specialist
- Medicaid Manager
Degrees
- Associate of Science : Education
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