Long Term Care Specialist

Essential Duties and Responsibilities: Performs detailed in-house review and bedside interviews to determine if patient is a viable candidate for Long-Term Care or other Medical Assistance programs through State, Federal, County, Medical or Disability Assistance, and if so to assist the patient/guarantor with the application process for any Assistance type program. Assists in mentoring and providing guidance to staff on proper procedures and development of core skill sets in accordance with Elevate training manuals, policies, and established guidelines. Provides assistance to the leadership in evaluating and assessing employee progress. Interacts with patients, patient representatives and/or families in order to obtain or determine the eligibility of the patient for Federal or State assistance for Long Term Care or other Medicaid programs. Explains to patients and other entities the eligibility requirements, application process and verification requirements for applicable programs. Facilitates the application process when appropriate by assisting the patient in completing the application, scheduling appointment interviews and obtaining required verification. Documents pertinent patient information and account activity in the appropriate systems dictated by the health care facility and ElevatePFS account, as required by Elevate policies and procedures in order to support account dispositions. Effectively requests and tracks field visits, utilizing correct criteria in accordance with Elevate training manuals. Maintains advanced knowledge of peripheral systems; EVS, ACEDS.Determines potential eligibility for Long-Term health care coverage in accordance to state/federal/local policies and procedures. Submits accurate and concise information to facilitate appropriate billing follow up. Consistently updates knowledge of multi-state/federal/local program policies and procedures. Monitors patient accounts to ensure appropriate processing timeframes are met. Maintains confidentiality regarding patient's health records. Maintains confidentiality regarding Elevate business practices. Conducts business in an ethical manner that promotes the Mission, Vision, and Values of Elevate. Works with upline leadership on all other duties as assigned in order to insure the outcomes for Elevate as a single organizational entity. Regular and timely attendance. Other duties as assigned.

Qualifications and Requirements: Some college and two years related experience and/or some combination of education, related experience and/or training. Advanced understanding of the Medical Assistance application process, including a basic understanding of various aspects of eligibility analysis and evaluation process. Knowledge of multiple state/federal/local program policies and procedures. Ability to use a PC effectively including various database programs. Accurate typing/data entry at a minimum of 30 wpm. Proficient in Microsoft Office applications, including advanced Excel, charts, graphs, Power Point. Ability to communicate effectively in writing and verbally. Skill in reading documents written in Standard English text such as administrative policy and procedures manuals. Ability to establish and maintain cooperative working relationships with patients, third party resources, co-workers and management. Able to follow complex instructions and procedures, paying close attention to details and to organize work in a systematic and efficient fashion. Skilled in organizing and setting priorities, which accurately reflect the relative importance of job responsibilities. Skilled in speaking clearly and distinctly using appropriate vocabulary and grammar to obtain the information necessary to execute the business of Elevate. Ability to adapt to a flexible schedule. Availability of reliable transportation for use in Field Visits. Remote and Hybrid positions require home internet connections that meet the Company's upload and download speed criteria.