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Medicaid Application Jobs (NOW HIRING)

Duke Health

Medicaid Eligibility Analyst

Durham, NC · On-site +1

Coordinate and facilitate the completion of the Medicaid application. Gather and provide necessary verifications to establish Medicaid eligibility via direct contact with patient and/or patient ...

Duke Health

Medicaid Eligibility Analyst

Durham, NC · On-site

Coordinate and facilitate the completion of the Medicaid application. Gather and provide necessary verifications to establish Medicaid eligibility via direct contact with patient and/or patient ...

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Medicaid Application information

What is a Medicaid application?

A Medicaid application is the formal process by which an individual applies for Medicaid, a government health insurance program for people with low income, elderly individuals, people with disabilities, and certain families and children. The application includes providing personal, financial, and medical information to determine eligibility for coverage. Applicants may be required to submit supporting documents such as proof of income, residency, and citizenship. Once submitted, the application is reviewed by the state's Medicaid office, and the applicant is notified if they qualify for benefits. The process can often be completed online, by mail, in person, or over the phone.

What are some common challenges faced by Medicaid Application Specialists when assisting clients through the application process?

Medicaid Application Specialists often encounter challenges such as navigating complex eligibility requirements, managing a high volume of cases, and addressing incomplete or missing documentation from applicants. They must be adept at explaining intricate policies in clear terms to clients who may be unfamiliar with government programs. Additionally, specialists frequently collaborate with social workers, healthcare providers, and government agencies to ensure applications are processed efficiently and clients receive timely assistance.

What are the key skills and qualifications needed to thrive as a Medicaid Application Specialist, and why are they important?

To thrive as a Medicaid Application Specialist, you need a strong understanding of Medicaid eligibility rules, attention to detail, and experience with case management or social services, typically supported by a relevant degree or on-the-job training. Familiarity with state Medicaid management information systems (MMIS), electronic document management, and data entry tools is essential. Excellent communication, empathy, and problem-solving skills help build rapport with applicants and navigate complex situations. These abilities ensure accurate processing of applications, timely access to benefits, and effective support for vulnerable populations.

What is the difference between Medicaid Application vs Medicaid Case Manager?

AspectMedicaid ApplicationMedicaid Case Manager
CredentialsBasic knowledge of Medicaid eligibility, often no formal certification requiredRelevant certifications (e.g., social work, case management), experience preferred
Work EnvironmentOffice settings, online portals, community outreachOffice, client homes, community settings
Employer & IndustryGovernment agencies, healthcare providersHealthcare organizations, social service agencies
Primary FocusAssisting individuals to complete Medicaid applicationsManaging ongoing client cases, coordinating services

While Medicaid Application specialists focus on helping clients complete and submit Medicaid enrollment forms, Medicaid Case Managers provide ongoing support, coordinate services, and manage client cases. Both roles are essential in the Medicaid process but differ in scope and responsibilities.

More about Medicaid Application jobs

What cities are hiring for Medicaid Application jobs?

Cities with the most Medicaid Application job openings:

What states have the most Medicaid Application jobs?

States with the most job openings for Medicaid Application jobs include:

What job categories do people searching Medicaid Application jobs look for?

The top searched job categories for Medicaid Application jobs are:

Medicaid Application jobs near you

Medicaid Application Coordinator

Asbury Communities

Gaithersburg, MD • On-site

$65K - $75K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Job description

Company Description
Today is a new day. At Asbury we're filling it with more laughter, more possibilities, more ways to give back, all backed by support for whatever life brings your way. We are an organization with a mindset to help others, a place where seniors continue to teach, learn, and grow, a certified Great Place to Work where you can build a purposeful career. Let's do all the good we can in this world - together.
Full-time Opportunity, Gaithersburg, MD
Compensation Range: $65,000 - $75,000 annually
Job Description
We are seeking a detail-oriented and knowledgeable individual primarily responsible for managing Medicaid and Benevolent Care application processes. The Counselor will also handle Medicaid Pending and Patient Liability aging, collaborate on collection activities, and update income changes for recipients.
What You'll Do
  • Serves as the Medicaid subject matter expert, ensuring compliance with State and County guidelines.
  • Oversees the Medicaid and Benevolent Care application, reapplication, and approval process across all Asbury Communities, ensuring adherence to policies and procedures, and supports complicated applications and process challenges.
  • Collaborates with clinical and operational teams to ensure all Medicaid applications are submitted timely and accurately.
  • Reviews Medicaid Pending and Patient Liability aging, assists Facility Billing Counselors, collaborates with Facility Billing Counselors on collections activities, and updates income changes for recipients.
  • Creates, reviews, and maintains policies and procedures related to the Medicaid application process.

Qualifications
Required Qualifications:
  • Bachelor's Degree in a related field or equivalent years of related work experience required.
  • One (1) to Two (2) years of accounting experience with a computerized accounting system required.
  • Two (2) to five (5) years of Medicaid application experience required.
  • High level of personal accountability, attention to detail and organizational skills.
  • Ability to work and think strategically, identify and implement efficiencies.
  • Excellent communications skills.
  • Comfort with technology; ability to adapt and effectively utilize various software platforms.
  • Above average knowledge of the Microsoft Office suite (Microsoft Word, Excel, PowerPoint and Outlook), and databases and/or data management tools

Additional Information
Depending upon the status of the position, Asbury offers generous benefits including medical, dental, and vision coverage; 401K with match; PTO and paid holidays.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. #LI-TB1

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