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Assistant Ogle County Jobs (NOW HIRING)

Allure HCS

IL · On-site

$40K - $50K/yr

Part-Time Illinois Medicaid Long-Term Care Specialist (30 Hours/Week) Verified Medicaid Case Experience Required - Illinois Experience Strongly Preferred We are seeking a highly experienced Medicaid ...

Allure HCS

IL

$40K - $50K/yr

Part-Time Illinois Medicaid Long-Term Care Specialist (30 Hours/Week) Verified Medicaid Case Experience Required - Illinois Experience Strongly Preferred We are seeking a highly experienced Medicaid ...

Avancer Homes LLC

Behavioral Specialist DSP

Genoa, IL · On-site

$25/hr

Our wonderful staff assist individuals with daily living and promote growth in all areas of needs ... homes across Ogle and DeKalb County. We are in a place of rapid growth and are very excited to ...

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Medicaid specialist assistant Ogle County

Allure HCS

IL • On-site

$40K - $50K/yr

Part-time

Re-posted 22 days ago

Job description

Part-Time Illinois Medicaid Long-Term Care Specialist (30 Hours/Week)

Verified Medicaid Case Experience Required – Illinois Experience Strongly Preferred

We are seeking a highly experienced Medicaid professional with direct, verifiable, hands-on experience managing Long-Term Care Medicaid cases from application through approval, appeals, and reopening denied cases.

This is NOT an entry-level position.
General Medicaid knowledge alone is NOT sufficient.

Out-of-state Medicaid experience will be reviewed; however, Illinois Medicaid experience is strongly preferred, as each state operates independently with different systems, policies, and procedural requirements.

MANDATORY QUALIFICATIONS – DO NOT APPLY UNLESS YOU MEET THESE REQUIREMENTS

The candidate must have verifiable, direct experience with:

  • Filing Long-Term Care Medicaid applications

  • Managing cases from initial filing through approval

  • Working directly with Medicaid caseworkers to resolve pending issues

  • Handling OIG-related matters

  • Preparing and managing appeals, including participation in administrative hearings

  • Reopening denied cases and understanding procedural requirements

  • Managing strict filing deadlines and timely submission requirements

  • Tracking deadlines related to:

    • Backdating coverage

    • Appeals filings

    • Reconsiderations and reopening denied cases

Strong Preference Given To Candidates With Illinois Experience Including:

  • Filing applications through the ABE (Application for Benefits Eligibility) system

  • Using the MEDI system to verify eligibility and monitor case status

  • Working knowledge of the Illinois Medicaid Policy Manual

  • Experience with Illinois Long-Term Care billing practices and reimbursement timelines

Illinois experience must be clearly reflected on your resume and will be verified.

Preferred Additional Experience

  • Experience using PointClickCare (PCC) software

  • Experience working within a long-term care facility environment

  • Understanding how Medicaid eligibility impacts facility billing cycles

Key Responsibilities

  • File and manage LTC Medicaid applications

  • Monitor eligibility and case progress

  • Track and comply with all deadlines for appeals, backdating, and reopened cases

  • Communicate directly with Medicaid caseworkers to secure timely approvals

  • Communicate directly with Business Office Managers and Regional Business Office Managers to ensure smooth processing and follow-through of all pending cases

  • Prepare documentation for OIG cases and appeals

  • Ensure approvals are obtained timely to protect reimbursement

Excellent written and verbal communication skills are required.

Work Environment & Candidate Profile

This role offers excellent guidance and strong team support from management and coworkers. Collaboration is valued, and you will be part of a supportive team environment.

However, the ideal candidate must:

  • Be self-motivated and able to work independently

  • Be highly detail-oriented and deadline-driven

  • Think critically and act quickly

  • Work well with others

  • Be adaptable and able to accept and tolerate procedural or policy changes

  • Maintain professionalism in a fast-paced, evolving regulatory environment

Position Details

  • Part-Time: 24-28 hours per week

  • Compensation based on verified experience

  • Independent role within a collaborative team

  • Salary $40,000-$50,000 a year pending experience