Medicaid specialist assistant

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

Qualifications

• 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

Benefits

• Excellent guidance and strong team support from management and coworkers
• Collaboration valued in a supportive team environment

Pay

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

Schedule

Part-Time: 24-28 hours per week