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Medicaid Eligibility Specialist

Creative Senior Planning
Des Moines, IA

Quick Apply

Job Details

Full-time
$30 an hour
5 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Customer communication
Long term care experience
EMR/EHR
Attention to detail
Productivity software
Process management
Time management

Full Job Description

Medicaid Eligibility Specialist

Location: Des Moine, IA

Company: Creative Senior PlanningDivision: Enrollment Support SolutionsEmployment Type: Full-TimeReports To: Executive Director of Operations

Our Mission

At Creative Senior Planning, we believe every senior deserves access to the care they need without unnecessary financial barriers.

Helping Families. Empowering Providers. Transforming Medicaid Eligibility.

This isn't just our tagline—it's the standard we hold ourselves to every day.

Through compassionate service, operational excellence, and innovative technology, we simplify one of healthcare's most complex processes. We help residents receive Medicaid benefits faster while helping healthcare providers improve financial stability and focus on delivering exceptional care.

Every application represents a family navigating one of life's most difficult transitions. Every relationship strengthens the providers we serve. Every process we improve transforms how Medicaid eligibility is delivered across the country.

As we continue expanding nationally, we're looking for people who share our commitment to service, accountability, innovation, and continuous improvement.

About the Role

The Eligibility Specialist is the operational backbone of our Medicaid Enrollment team.

This is more than processing paperwork.

You'll manage Medicaid eligibility cases from referral through approval, working directly with families, long-term care facilities, state agencies, and internal teammates to ensure every application is completed accurately, efficiently, and with exceptional customer service.

Your work directly impacts residents receiving benefits sooner while helping providers reduce outstanding receivables and improve operational performance.

If you enjoy solving problems, managing complex workflows, staying organized, and making a meaningful difference in people's lives, you'll thrive in this role.

What You'll DoOwn the Medicaid Enrollment Process

Manage assigned Medicaid applications from referral through approval
Determine documentation requirements based on resident eligibility
Collect, verify, and organize financial and eligibility documentation
Complete and submit accurate Medicaid applications using company systems
Monitor application status and proactively resolve delays
Ensure timely follow-up until final eligibility determination

Support Families and Healthcare Providers

Serve as a trusted resource for residents and family members
Communicate professionally with nursing facility staff
Coordinate with state Medicaid agencies and Department of Human Services representatives
Partner closely with Medicaid Planning Advisors and internal teams
Provide timely updates throughout the application process
Deliver compassionate, professional service during challenging life transitions

Maintain Operational Excellence

Maintain complete and accurate electronic case files
Document all activity within CRM and internal platforms
Ensure HIPAA compliance and data confidentiality
Track deadlines, recertifications, renewals, and required follow-up
Maintain outstanding documentation quality
Ensure compliance with all applicable Medicaid regulations and company standards

Help Build Better Systems

As a growing national organization, we expect every employee to contribute to continuous improvement.

You'll help us:

Improve workflows and efficiencies
Recommend process improvements
Support automation initiatives
Develop best practices for future state expansion
Help build scalable operational systems that support company growth

Success in This Role

Our top Eligibility Specialists are known for their accuracy, accountability, and ownership.

They consistently:

Deliver highly accurate Medicaid applications
Meet or exceed turnaround time expectations
Maintain exceptional organization across multiple active cases
Communicate proactively with families and providers
Resolve issues before they become delays
Take ownership of every case from beginning to end
Look for opportunities to improve processes
Represent Creative Senior Planning with professionalism and compassion

Key Performance Indicators

Performance is measured using objective operational metrics, including:

Application Accuracy Rate
Medicaid Approval Rate
Average Days from Referral to Submission
Average Days to Approval
Cases Managed Per Month
Recertification Completion Rate
CRM & Documentation Accuracy Score
Service Level Agreement (SLA) Compliance
Family Satisfaction Score
Facility Satisfaction Score
Escalation Resolution Time
Internal Quality Audit Score

QualificationsRequired

Exceptional organizational and time management skills
Strong attention to detail
Excellent written and verbal communication
Ability to manage multiple priorities simultaneously
Strong follow-up and problem-solving abilities
Customer-focused mindset
Ability to work independently in a remote environment
Proficiency with Google Workspace or Microsoft Office

Preferred

Experience with Medicaid eligibility or applications
Healthcare administration or case management experience
Long-term care or senior living experience
Experience using CRM platforms (HubSpot preferred)
Knowledge of Medicaid regulations and eligibility requirements

The Person Who Will Thrive Here

You're someone who:

Takes ownership without waiting to be asked
Loves creating order from complexity
Notices details others overlook
Follows through relentlessly
Solves problems with urgency and professionalism
Communicates with empathy and confidence
Values accountability and continuous improvement
Wants to build something meaningful rather than simply perform a job

Why Creative Senior Planning?

Creative Senior Planning is redefining how long-term care providers manage Medicaid eligibility and resident financial services.

Through innovative technology, operational excellence, and exceptional customer service, we're building scalable solutions that improve outcomes for residents, healthcare providers, and partners across the country.

We're still growing—which means every employee has the opportunity to influence our culture, improve our processes, and grow their career alongside the organization.

If you're looking for more than just a job—if you want to help build a company that is transforming an industry while making a real difference in people's lives—we'd love to meet you.

Creative Senior Planning

Helping Families. Empowering Providers. Transforming Medicaid Eligibility.

Pay: $30.00 per hour

Benefits:

Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

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