The Mobile Medicaid Liaison is responsible for the oversight, coordination, and successful completion of pending Medicaid applications for prospective admissions and current residents across assigned facilities. This role ensures eligibility accuracy, timely processing, regulatory compliance, and strong collaboration between facilities, residents/families, county agencies, and business office teams to support the overall financial health of each facility.
Essential Duties & Responsibilities
Medicaid Eligibility & Application Oversight
- Oversee the end to end Medicaid application process, ensuring timely submission, follow up, and resolution of pending cases.
- Evaluate income and asset levels for potential admissions and residents already admitted to determine Medicaid eligibility.
- Provide guidance and direction when applicants are ineligible, including recommending corrective actions or alternative pathways to resolve eligibility concerns.
- Ensure standardized and effective processes are in place for:
- Initial Medicaid applications
- Re certification and renewal documentation
- Tracking and monitoring open and pending Medicaid applications
- Proactively monitor application status and follow up with appropriate parties to avoid denials or payment delays.
Resident, Family & Agency Collaboration
- Work directly with residents and/or families to obtain required documentation needed to assess Medicaid eligibility.
- Communicate clearly and compassionately regarding application requirements, timelines, and outstanding items.
- Collaborate closely with county caseworkers, Area Agency on Aging, and other external partners to ensure cases are processed efficiently and timely.
- Serve as a liaison between external agencies and facility teams to resolve application or eligibility issues.
Business Office Support
- Assist and support the Business Office Manager (BOM) as needed to ensure financial stability and compliance.
- Provide assistance with:
- Claims processing
- Cash posting
- Insurance verification and review
- Research and account follow up
- Resident Trust accounts
- Customer service and collections
- PointClickCare (PCC) documentation and workflows
- Contribute to audits, compliance reviews, and internal reporting related to Medicaid and reimbursement.
Education & Experience
Required / Preferred Qualifications
- Associate’s degree in Healthcare Administration, Business Administration, Social Work, or related field preferred
OR 2–5 years of Medicaid eligibility processing experience.
- 2–5 years of Medicaid and/or compliance experience preferred; experience in Social Services or Admissions is a plus.
- Strong subject matter expertise in Medicaid regulations, contractual requirements, industry standards, and best practices.
- Skilled Nursing Facility (SNF) Medicaid billing and eligibility screening experience preferred.
- Demonstrated experience in Skilled Nursing Medicaid eligibility processing preferred.
- Proficiency in Excel and Microsoft Office programs.
- Knowledge of and experience with billing and electronic medical record software, including PointClickCare.
- Working knowledge of the Area Agency on Aging.
- Excellent organizational, time management, and customer service skills.
- Ability to manage responsibilities in a fast paced, multi facility environment.
- Willingness and ability to travel as required.
We Are Proud to Offer
- Comprehensive benefits package including:
- Medical, dental, and vision insurance
- Disability and life insurance
- 401(k) retirement plan with company match through Fidelity
- Career growth and advancement opportunities
- Supportive leadership and collaborative work environment
We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or non-job-related handicap or disability.
