Experienced Medicaid Specialist
Location: Brooklyn, NY
Job Type: Full-Time
Schedule: Monday–Friday
Job Summary
We are seeking an experienced Medicaid Specialist with a strong background in processing New York State Medicaid applications, renewals, eligibility issues, and long-term care Medicaid cases.
Prior hands-on New York Medicaid experience is required. Candidates without Medicaid application experience will not be considered.
The ideal candidate must be able to independently manage a caseload, review documentation, communicate with clients and government agencies, and follow each application through approval.
Responsibilities
- Complete and submit New York Medicaid applications accurately and promptly.
- Handle Community Medicaid, long-term care Medicaid, and home care-related Medicaid cases.
- Process Medicaid renewals and recertifications.
- Review financial, medical, residency, immigration, and identification documents.
- Identify missing documentation and follow up with clients, families, attorneys, trusts, and referral partners.
- Assist with Medicaid spend-down and pooled income trust cases.
- Track application status and follow up with HRA, DSS, and other government agencies.
- Respond to requests for additional information.
- Resolve inactive, denied, discontinued, or delayed Medicaid cases.
- Verify Medicaid eligibility and coverage.
- Maintain detailed case notes and update the case-management system.
- Communicate application status to clients and referral sources.
- Manage deadlines and maintain an organized caseload.
- Protect confidential client information and comply with HIPAA and company policies.
Required Qualifications
- Minimum of 2 years of hands-on experience processing New York Medicaid applications.
- Experience with Community Medicaid, Medicaid renewals, spend-down cases, and pooled income trusts.
- Knowledge of New York long-term care Medicaid eligibility requirements.
- Familiarity with NYC HRA, local DSS offices, ACCESS HRA, eMedNY, or related systems.
- Ability to independently complete and follow Medicaid applications from intake through approval.
- Strong understanding of required financial and supporting documentation.
- Excellent communication, organization, and follow-up skills.
- Ability to manage multiple active cases and meet strict deadlines.
- Proficiency with Microsoft Office, email, scanning, and electronic case-management systems.
Preferred Qualifications
- Experience working for a Medicaid application company, home care agency, elder law office, pooled trust, MLTC plan, or social-service organization.
- Knowledge of Medicaid home care programs, including MLTC, NHTD, and TBI waiver services.
- Bilingual candidates are encouraged to apply.
Benefits
- Competitive salary
- Paid time off
- Paid holidays
- Health insurance eligibility
- Professional growth opportunities
- Supportive work environment
How to Apply
Please submit your resume with a detailed description of your New York Medicaid application experience.
Applicants without prior New York Medicaid processing experience will not be considered.
We are an equal opportunity employer and consider applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected status.
Job Type: Full-time
Pay: $40,000.00 - $95,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
Experience:
- medicaid specialist: 1 year (Required)
Work Location: In person
