Medicaid Application Specialist

Position: Medicaid Application Specialist

Location: Little River, SC

Job Id: 1232

# of Openings: 1

Medicaid Application Specialist

POSITION SUMMARY

The Medicaid Application Specialist plays a vital role in supporting patients and community members by determining eligibility for Medicaid benefits. This includes gathering and verifying applicant information, submitting applications, and guiding individuals through the process. The Specialist maintains accurate records of all submitted applications and related documentation.

This role works closely with the Outreach team, which supports eligibility determination for Medicaid and other programs. The position also collaborates with the Reproductive Health Coordinator to enroll patients in Medicaid and Family Planning Medicaid.

WHY LRMC:

Little River Medical Center is a non-profit community health center within Horry County. At Little River Medical Center, we strive to offer exceptional health services and deliver quality, compassionate care to everyone. We provide a wide range of affordable health and support services for every family.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Meeting one-on-one with individuals to determine eligibility.
• Assists eligible individuals with completing and submitting Medicaid applications.
• Track the applications using computer systems, databases, and other relevant software.
• Follow up with patients to ensure submission and determination of application outcomes.
• Participate in meetings with LRMC staff, partner agencies, and external stakeholders as needed.
• Report data every month, including: Number of patients seen, number of Medicaid applications submitted, and number of applications approved.
• Complete required training on SC Medicaid programs, application processes, and financial eligibility determination.
• Travel to additional LRMC sites as needed to meet patient needs.
• Provide other outreach duties as assigned.
• Participate in outreach community events as needed.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Proficiency in Microsoft 365 (Teams, SharePoint, Excel), and ability to manage files, folders, and shared project documents.
• Healthcare knowledge is an asset.
• Knowledge of community health issues, disparities, and local resources.
• Compassionate and patient-focused, with excellent interpersonal skills.
• Effective communicator with a positive attitude, willingness to learn, and lead by example.
• Detail-oriented, efficient, and able to manage multiple tasks simultaneously.
• Ability to work independently and collaboratively.
• Process-oriented, proactive problem solver with strong organizational skills.
• Ability to provide fair, accurate, and impartial assistance in a culturally and linguistically appropriate manner.
• Occasional evening or weekend work is required for community events.
• Valid Driver’s license with a good driving record.
• Reliable transportation is required for travel to multiple LRMC sites and events.

EDUCATION and/or EXPERIENCE

• Minimum of 2-year associate or certified degree.
• BS in Social Work or Communications preferred.
• Must be able to read, speak, and write English fluently. Spanish/other languages are a plus.

LRMC offers benefits such as:

• Employer matched 403B Retirement Plan.
• Paid Vacation time, Sick time, & Holiday's. As well as paid qualifying Administrative Leave.
• Employer Paid Health Benefits: Life / AD&D Policies, Short/Long Term Disability, and a Employee Assistant Plan.