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Medicaid Assistant Jobs (NOW HIRING)

Medicaid specialist assistant

Niles, IL ยท 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 ...

Documentation Support and Case Organization: Assist with the collection, review, and organization of documentation required for Medicaid applications, ensuring materials are accurate, complete, and ...

Maintain relationships with external partners and state agencies. * Assist in developing grant ... Previous Medicaid billing or healthcare administration experience, preferably in an educational ...

Medicaid Specialist - Blue Ridge Care Services Your expertise can open doors to care. Your guidance ... Communicate clearly and compassionately with diverse elderly populations and families. * Assist in ...

Medicaid Specialist

Winchester, VA ยท On-site

$52 - $76/hr

Medicaid Specialist - Blue Ridge Care Services Your expertise can open doors to care. Your guidance ... Communicate clearly and compassionately with diverse elderly populations and families. * Assist in ...

Medicaid Specialist

Bedford, NH ยท On-site

$52 - $72/hr

Medicaid Specialist - Full Time Allied Caregivers is seeking an organized and detail-oriented ... documentation * Assist with internal and external audits by gathering records, reviewing ...

Key Responsibilities * Assist the Lifecare Benefits Planner with the preparation, submission, renewals, and follow-up of Medicaid applications. * Gather, organize, and review financial documents ...

Medicaid/Medicare Consultant

MD ยท On-site

$90K - $150K/yr

... * Assist the State with billing Medicare Part A & B and Medicaid programs; provide IDHS with detailed information identifying those claims that the vendor submitted in an agreed-upon format and ...

The Mobile Medicaid Liaison is responsible for the oversight, coordination, and successful ... Business Office Support * Assist and support the Business Office Manager (BOM) as needed to ensure ...

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We are seeking a compassionate, organized, and detail-oriented Medicaid Eligibility & Long-Term Care Services Specialist to assist older adults and individuals in navigating the Medicaid eligibility ...

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Medicaid Assistant information

What is a Medicaid assistant?

Medicaid Assistants are professionals who help individuals and families navigate the Medicaid program, which provides health coverage to eligible low-income people. Their duties often include assisting with applications, verifying eligibility, gathering required documentation, and answering questions about Medicaid benefits and processes. They may work in hospitals, clinics, social service agencies, or government offices. Medicaid Assistants play a crucial role in ensuring that applicants receive the benefits they are entitled to and understand their healthcare options.

What skills and qualifications are needed to be a Medicaid assistant?

To thrive as a Medicaid Assistant, you need strong knowledge of Medicaid policies, eligibility requirements, and experience in medical or social services administration. Familiarity with Medicaid management information systems (MMIS) and data entry software is typically required, along with any relevant certifications in healthcare administration. Excellent interpersonal skills, attention to detail, and problem-solving abilities help you effectively assist clients and navigate complex regulations. These skills ensure accurate processing of applications and support, leading to better access to healthcare services for eligible individuals.

What challenges do Medicaid assistants face when supporting applicants through the enrollment process?

Medicaid Assistants often encounter challenges such as navigating complex eligibility requirements, managing large caseloads, and helping applicants gather necessary documentation. They must be adept at explaining program rules and timelines to applicants who may have limited familiarity with the healthcare system. Additionally, Medicaid Assistants frequently collaborate with social workers, healthcare providers, and government agencies to resolve issues and ensure timely application processing.

What is the difference between Medicaid Assistant vs Medical Assistant?

AspectMedicaid AssistantMedical Assistant
CredentialsMay require certification or training specific to Medicaid programsTypically requires a CMA or RMA certification
Work EnvironmentAssists with Medicaid enrollment and support in healthcare offices or government agenciesWorks in clinics, hospitals, or medical offices performing clinical and administrative tasks
Employer & IndustryGovernment agencies, Medicaid offices, healthcare providersHospitals, clinics, private practices
Common Search & ComparisonOften compared for roles supporting Medicaid servicesCompared for clinical support roles in healthcare settings

While both roles support healthcare delivery, Medicaid Assistants focus on Medicaid program support and enrollment, often within government or healthcare agencies. Medical Assistants perform clinical and administrative tasks in medical facilities. Understanding these differences helps job seekers find the right role aligned with their skills and career goals.

What cities are hiring for Medicaid Assistant jobs?

Cities with the most Medicaid Assistant job openings:

What are the most commonly searched types of Medicaid jobs?

The most popular types of Medicaid jobs are:

What states have the most Medicaid Assistant jobs?

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

Medicaid specialist assistant

Allure HCS

Niles, IL โ€ข 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