Valencia Hills Health and Rehabilitation Center
Medicaid Pending Specialist
Valencia Hills Health and Rehabilitation Center, Lakeland, Florida, United States, 33809
Valencia Hills Center for Rehabilitation & Healing
Make an impact. Build connections. Love where you work. At Valencia Hills Center for Rehabilitation and Healing, you'll find a team that celebrates your strengths, where your work truly makes a difference every day. We're passionate about creating a supportive, positive environment-not only for our residents, but for the people who care for them. As proud partners of the Tampa Bay Buccaneers, our team members also have the opportunity to join the spirited KARE KREWE of Valencia Hills-bringing big-team energy and community spirit to everything we do. If you are looking to join a caring and supportive team, we would love to meet you!
We are conveniently located at 1350 Sleepy Hill Rd, Lakeland, FL.
Why Work For Us? Because We Offer Our Employees: Health, Dental & Vision Insurance -
family plan options available Shift Differentials -
nurses earn up to $2 more on nights and weekends Generous PTO, Holiday and Sick time - we value work/life balance 401k, Life Insurance and Disability Coverage - peace of mind for you and your family Direct Deposit & Cash Advance up to 50% of Daily Pay - get paid when YOU want Wonderschool Concierge Services
- childcare made simple Uniforms & Employee Perks Program-
we've got you covered 24/7 Telehealth Benefit with Doctegrity -
access to medical care and mental health support when you need it most This role requires Florida AHCA Clearinghouse background screening. More information:
https://info.flclearinghouse.com
We are seeking a detail-oriented and compassionate
Medicaid Pending Specialist
to join our team. This role is responsible for assisting residents and their families through the Medicaid application and recertification process, ensuring timely and accurate completion of all requirements. The ideal candidate will have strong knowledge of Medicaid policies and procedures in Florida, excellent organizational skills, and a commitment to supporting residents' financial needs with professionalism and empathy.
Key Responsibilities:
Guide residents and families through the Medicaid application, eligibility, and recertification process Review financial documentation, verify information, and ensure compliance with state and federal Medicaid requirements Serve as the primary liaison between residents, families, caseworkers, and government agencies Maintain accurate records and documentation for all applications and approvals Monitor deadlines and ensure timely submission of all paperwork to avoid lapses in coverage Educate residents and families on Medicaid programs, requirements, and available resources Collaborate with the business office and admissions team to support financial planning and admissions processes Stay current with changes in Medicaid laws, regulations, and eligibility criteria Qualifications:
High school diploma or equivalent required; Associate's or Bachelor's degree in Business, Social Work, or related field preferred Prior experience with Medicaid applications and eligibility processes strongly preferred (SNF or healthcare setting experience a plus) Strong knowledge of Florida Medicaid rules and guidelines Excellent communication and interpersonal skills with the ability to explain complex information clearly Strong organizational skills and attention to detail Proficiency in Microsoft Office and comfort with electronic documentation systems Ability to handle sensitive and confidential information with discretion
Why Join Us?
We are dedicated to providing compassionate care and outstanding service to our residents. As a Medicaid Specialist, you will play a key role in ensuring peace of mind for families while helping residents access the care they need. We offer a supportive team environment, opportunities for professional growth, and the chance to make a meaningful impact every day.
Make an impact. Build connections. Love where you work. At Valencia Hills Center for Rehabilitation and Healing, you'll find a team that celebrates your strengths, where your work truly makes a difference every day. We're passionate about creating a supportive, positive environment-not only for our residents, but for the people who care for them. As proud partners of the Tampa Bay Buccaneers, our team members also have the opportunity to join the spirited KARE KREWE of Valencia Hills-bringing big-team energy and community spirit to everything we do. If you are looking to join a caring and supportive team, we would love to meet you!
We are conveniently located at 1350 Sleepy Hill Rd, Lakeland, FL.
Why Work For Us? Because We Offer Our Employees: Health, Dental & Vision Insurance -
family plan options available Shift Differentials -
nurses earn up to $2 more on nights and weekends Generous PTO, Holiday and Sick time - we value work/life balance 401k, Life Insurance and Disability Coverage - peace of mind for you and your family Direct Deposit & Cash Advance up to 50% of Daily Pay - get paid when YOU want Wonderschool Concierge Services
- childcare made simple Uniforms & Employee Perks Program-
we've got you covered 24/7 Telehealth Benefit with Doctegrity -
access to medical care and mental health support when you need it most This role requires Florida AHCA Clearinghouse background screening. More information:
https://info.flclearinghouse.com
We are seeking a detail-oriented and compassionate
Medicaid Pending Specialist
to join our team. This role is responsible for assisting residents and their families through the Medicaid application and recertification process, ensuring timely and accurate completion of all requirements. The ideal candidate will have strong knowledge of Medicaid policies and procedures in Florida, excellent organizational skills, and a commitment to supporting residents' financial needs with professionalism and empathy.
Key Responsibilities:
Guide residents and families through the Medicaid application, eligibility, and recertification process Review financial documentation, verify information, and ensure compliance with state and federal Medicaid requirements Serve as the primary liaison between residents, families, caseworkers, and government agencies Maintain accurate records and documentation for all applications and approvals Monitor deadlines and ensure timely submission of all paperwork to avoid lapses in coverage Educate residents and families on Medicaid programs, requirements, and available resources Collaborate with the business office and admissions team to support financial planning and admissions processes Stay current with changes in Medicaid laws, regulations, and eligibility criteria Qualifications:
High school diploma or equivalent required; Associate's or Bachelor's degree in Business, Social Work, or related field preferred Prior experience with Medicaid applications and eligibility processes strongly preferred (SNF or healthcare setting experience a plus) Strong knowledge of Florida Medicaid rules and guidelines Excellent communication and interpersonal skills with the ability to explain complex information clearly Strong organizational skills and attention to detail Proficiency in Microsoft Office and comfort with electronic documentation systems Ability to handle sensitive and confidential information with discretion
Why Join Us?
We are dedicated to providing compassionate care and outstanding service to our residents. As a Medicaid Specialist, you will play a key role in ensuring peace of mind for families while helping residents access the care they need. We offer a supportive team environment, opportunities for professional growth, and the chance to make a meaningful impact every day.