Financial Eligibility and Reimbursement Coordinator
No salary listed
Mid
Bachelor's
Washington, PA, USA
In Person
Medical, Clinical & VeterinaryClinical Support & Patient Administration
About the job
Requirements
- A bachelor's degree with applicable experience in a health-related field is preferred.
- A valid driver's license, reliable transportation, and car insurance are required.
- Knowledge of Medicare and Medicaid regulations is required.
Responsibilities
- Coordinate Medicaid and Medicare benefits with participants, families, and governing agencies.
- Maintain current electronic case management records, including annual medical assistance recertifications, Skilled Nursing Facility day 31 submissions, and invoicing.
- Complete documentation of all visits, including episodic visits, routine visits, phone calls, and home visits, against the corresponding care plan elements.
- Communicate participant changes to team members.
- Provide administrative assistance, including applications and forms, and community resources to participants as needed.
- Assist participants with successfully completing medical assistance recertification applications, including submitting all relevant documentation within required timeframes to maintain financial eligibility for Senior LIFE.
- Keep participants and families updated about medical assistance eligibility, Medicare application status, and changes in participants' financial status.
About the company
SeniorLIFE operates PACE (LIFE) health centers across Pennsylvania, helping older adults stay in their own homes instead of moving to a nursing facility. An interdisciplinary team builds each member an individualized plan covering physician and nursing care, personal care, pharmacy, therapy, transportation, nutrition counseling, and social services. What sets SeniorLIFE apart is its all-in-one model, pairing 24/7 coverage with wellness centers for coordinated medical and social support. The goal is to help seniors age safely and independently.
Company Size
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Company Stage
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Total Funding
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Headquarters
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Founded
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Simplify's Take
What believers are saying
- The June 24, 2026 government-backed study validated Senior LIFE's care model.
- The July 2026 job fairs in Altoona and Johnstown signal active staffing demand.
- Senior LIFE's 24/7 care and home-based services fit aging-in-place demand.
What critics are saying
- Senior LIFE depends on Pennsylvania Medicaid and Medicare PACE reimbursement for every member.
- Its small Pennsylvania footprint leaves growth tied to local referral networks.
- Any Pennsylvania rate cut or compliance failure can cripple the PACE model.
What makes SeniorLIFE unique
- Senior LIFE runs Pennsylvania PACE care across twelve cities as of October 2, 2026.
- Its LIFE model bundles physician, pharmacy, therapy, transportation, and in-home support.
- The 2026 Health Benefit Card adds grocery and OTC assistance at no charge.
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Benefits
- Remote Work Options
- Flexible Work Hours
- Paid Time Off
- Phone/Internet Stipend