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Eligibility Manager

Masonic Pathways

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At a glance

Compensation
No compensation found
Location
Alma, MI
Work Authorization
Not specified

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Job overview

The Eligibility Manager supports admissions, eligibility, and resident enrollment at the Home. The role assists prospective residents and families with Medicaid or Masonic Assistance eligibility, coordinates with the Admissions and Eligibility Team, and communicates admission and financial information. It also maintains records, supports census reconciliation and reporting, advises residents and staff on coverage and financial matters, and supervises eligibility personnel.

Skills & qualifications

RequiredNice to have

Skills

Medicaid RegulationsMedicaid ApplicationsLong-Term Care AdmissionsRegulatory Requirements

Qualifications

Associate or Bachelor's in Business Administration, Healthcare Administration, Accounting, Finance, Human Services, or Related Field or Equivalent Experience3 Years Healthcare Setting Experience

Full job description

Eligibility Manager Position Summary: The Eligibility Manager supports the admissions, eligibility, and resident enrollment functions of the Home. Overview of Duties and Responsibilities: Every effort has been made to identify the essential functions of this position. However, this in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude the position if the work is similar, related, or is an essential function of the position. - Assist prospective residents and families throughout the residency application for eligibility of Medicaid or Masonic Assistance - Collaborate with the Admissions and Eligibility Team to facilitate a seamless transition for new admissions - Communicate admission requirements, financial obligations, and payer information to residents and responsible parties - Maintain accurate and organized resident financial and admission records - Assist with census reconciliation and reporting - Serve as a resource for residents, families, and staff regarding insurance coverage and admission-related financial matters - Supervise, train, mentor, and evaluate eligibility personnel and other assigned staff Education and/or Experience Qualifications: - Associate or bachelor's degree in business administration, Healthcare Administration, Accounting, Finance, Human Services, or a related field; equivalent experience may be considered. - Minimum of three (3) years of experience in long-term care, skilled nursing, assisted living, healthcare admissions, Medicaid eligibility, patient financial services, or a related healthcare setting. - Knowledge of Michigan Medicaid regulations and Medicaid application processes. Strong understanding of long-term care admission processes and regulatory requirements About: Located in the friendly community of Alma, MI, Michigan Masonic Home is a not-for-profit continuing care retirement community offering independent and assisted living, short-stay rehabilitation, skilled nursing, and memory care services. Michigan Masonic Home is an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex Job Category: Admissions Job Type: 8 Hour Shifts Job Location: Alma Michigan

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