Medicare Specialist

Job Summary The Medicare Specialist (RN) is responsible for overseeing all aspects of Medicare and skilled services, ensuring clinical accuracy, regulatory compliance, and optimal reimbursement. This role serves as a key liaison between clinical teams, hospital partners, and payers, supporting skilled admissions, documentation, and care coordination. The Medicare Specialist plays a critical role in maintaining census, supporting quality outcomes, and guiding interdisciplinary communication.

Responsibilities:

Skilled Charting/Admissions VA Liaison Skilled Referrals Replacement Plan Appeals and Communication Assistance with hospital case management communication Pharmacy Census Hospital Notification of Bed Availability NOMNC and Beneficiary Notices Audits Triple Check Follow-Up Communication Assisting Social Director with Skilled Discharge Planning 703

Submission Skilled Certs and Recerts Qualifications:

Active Registered Nurse (RN) license required Minimum of 2 years of experience in skilled nursing, case management, or Medicare-related role preferred Strong knowledge of Medicare guidelines, skilled services, and reimbursement processes Experience with EMR systems and clinical documentation Excellent organizational, communication, and critical thinking skills Ability to manage multiple priorities in a fast-paced healthcare environment

Work Environment:

Fast-paced healthcare setting with frequent collaboration across departments Regular interaction with residents, families, hospital partners, and interdisciplinary team members

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person Medicare Specialist 3.0 3.0 out of 5 stars 7811 Euper Lane, Fort Smith, AR 72903 Permanent, Full-time Methodist Village Senior Living 26 reviews Permanent, Full-time Job Summary The Medicare Specialist (RN) is responsible for overseeing all aspects of Medicare and skilled services, ensuring clinical accuracy, regulatory compliance, and optimal reimbursement. This role serves as a key liaison between clinical teams, hospital partners, and payers, supporting skilled admissions, documentation, and care coordination. The Medicare Specialist plays a critical role in maintaining census, supporting quality outcomes, and guiding interdisciplinary communication.

Responsibilities:

Skilled Charting/Admissions VA Liaison Skilled Referrals Replacement Plan Appeals and Communication Assistance with hospital case management communication Pharmacy Census Hospital Notification of Bed Availability NOMNC and Beneficiary Notices Audits Triple Check Follow-Up Communication Assisting Social Director with Skilled Discharge Planning 703

Submission Skilled Certs and Recerts Qualifications:

Active Registered Nurse (RN) license required Minimum of 2 years of experience in skilled nursing, case management, or Medicare-related role preferred Strong knowledge of Medicare guidelines, skilled services, and reimbursement processes Experience with EMR systems and clinical documentation Excellent organizational, communication, and critical thinking skills Ability to manage multiple priorities in a fast-paced healthcare environment

Work Environment:

Fast-paced healthcare setting with frequent collaboration across departments Regular interaction with residents, families, hospital partners, and interdisciplinary team members

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person