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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 ...

lhs

Oversee the endtoend Medicaid application process, ensuring timely submission, followup, and resolution of pending cases. * Evaluate income and asset levels for potential admissions and residents ...

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Medicaid Application information

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 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 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 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
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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 COORDINATOR

Riverdale Rehab and Nursing Center

Bronx, NY • On-site

Full-time

Posted 15 days ago

Job description

Riverdale Rehab and Nursing Care Center is currently seeking for a Medicaid Coordinator Full time Day shift (9am-5pm) to join our dynamic organization. 

Please email your resumes and Human Resources Department will contact you.

RESPONSIBILITIES:

Include but are not limited to:

  • Financial Interview for Medicaid application process
  • Attend weekly department meetings to identify potential Medicaid application recipients
  • Discuss with Private Pay residentsa financial option in a timely manner
  • Attend Monthly Aging meetings
  • Educate residents and families about income payments/NAMI in a timely manner
  • Having resident/family/POA sign authorization and order all documents related to the Medicaid application
  • Filing Medicaid application/conversion through MEDS system
  • Yearly Medicaid re-certifications
  • Follow up and correspond with local HRA
  • Handle all rejected, deferred applications in a timely manner
  • File Fair Hearing and attend if necessary
  • Identify budget discrepancies and correct when necessary
  • Assist with enrollments/dis enrollments HMO/MLTC
  • Collect private/NAMI payments as necessary
  • Apply for Representative Payee as necessary
  • Submit Social Security Annual report
  • Guardianship petitions when necessary
  • Other duties as needed to ensure department operates at its maximum

QUALIFICATIONS:

EDUCATION / EXPERIENCE:

  • A Bachelor's degree in Human Services, Finance or related field
  • 3 years of experience in Medicaid/Finance services
  • Bilingual preferred but not necessary
Employment Type: FULL_TIME

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