Corporate Operations - Medicaid Specialist

Job Description

Job Description

Job Title : Medicaid Specialist

Job Summary :

We are seeking a detail-oriented and knowledgeable Medicaid Specialist to join our team. This role is responsible for assisting individuals in the Medicaid application and renewal process, ensuring compliance with federal and state regulations, and maintaining accurate documentation. The ideal candidate will have experience in healthcare billing, Medicaid eligibility requirements, and strong communication skills to effectively interact with patients, families, and government agencies.

Key Responsibilities :

• Assist patients and families with Medicaid applications, renewals, and verifications.
• Review and process Medicaid eligibility documentation to ensure compliance with state and federal guidelines.
• Coordinate with government agencies, healthcare providers, and internal teams to resolve application issues and secure approvals.
• Maintain up-to-date knowledge of Medicaid policies, regulations, and procedural changes.
• Monitor Medicaid status for patients and proactively address pending applications or renewals.
• Ensure proper documentation and record-keeping of all Medicaid-related interactions.
• Educate patients and families about Medicaid benefits, requirements, and available resources.
• Work closely with billing and finance departments to reconcile Medicaid claims and payments.
• Handle confidential patient information in accordance with HIPAA and organizational policies.

Qualifications :

Preferred Qualifications :

Work Environment :

If you are passionate about helping individuals navigate Medicaid and ensuring they receive the healthcare coverage they need, we encourage you to apply.