Medicaid Specialist
Are you experienced in Medicaid eligibility and passionate about helping others navigate complex healthcare processes? We are looking for a highly organized and compassionate Medicaid Specialist to support residents and their families through the Medicaid application process while ensuring compliance, accuracy, and timely reimbursement.
This is an excellent opportunity for someone who enjoys problem-solving, building relationships, and making a meaningful difference behind the scenes in a healthcare setting.
What You'll Be Responsible For
- Guide residents and families through the Medicaid application, renewal, and redetermination process.
- Collect, review, and submit financial and eligibility documentation.
- Track pending applications and communicate with state agencies to help facilitate timely approvals.
- Maintain accurate financial records and Medicaid documentation.
- Collaborate with Admissions, Business Office, Social Services, and facility leadership regarding resident eligibility and payer status.
- Explain Medicaid requirements and available resources in a clear, supportive, and professional manner.
- Research and resolve eligibility concerns, including assisting with appeals when needed.
- Ensure compliance with all applicable federal, state, and organizational regulations.
- Maintain strict confidentiality while providing outstanding customer service.
What We're Looking For
The ideal candidate will have:
- Previous experience in Medicaid eligibility, healthcare billing, admissions, business office operations, or a related role.
- Experience working in long-term care, skilled nursing, assisted living, or another healthcare environment preferred.
- A strong understanding of Medicaid eligibility guidelines and reimbursement processes.
- Excellent organizational skills with the ability to manage multiple priorities and deadlines.
- Strong communication and customer service skills.
- Proficiency with Microsoft Office and electronic healthcare record systems.
- High school diploma or equivalent required; additional education in healthcare administration, business, or a related field is a plus.
What We Offer
- Competitive hourly compensation
- Comprehensive medical, dental, and vision benefits
- Paid time off and holiday pay
- 401(k) with company match (where applicable)
- Professional development and advancement opportunities
- A collaborative, supportive work environment where your contributions are valued
If you're looking for an opportunity to use your Medicaid expertise while helping residents and families during an important time, we'd love to hear from you.
Apply today to take the next step in your career!
Pay: Up to $31.00 per hour
Work Location: In person
