Medicaid specialist assistant

Part-Time Illinois Medicaid Long-Term Care SpecialistWe 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 REQUIREMENTSFiling Long-Term Care Medicaid applicationsManaging cases from initial filing through approvalWorking directly with Medicaid caseworkers to resolve pending issuesHandling OIG-related mattersPreparing and managing appeals, including participation in administrative hearingsReopening denied cases and understanding procedural requirementsManaging strict filing deadlines and timely submission requirementsTracking deadlines related to backdating coverage, appeals filings, reconsiderations, and reopening denied casesStrong Preference Given To Candidates With Illinois Experience Including:Filing applications through the ABE (Application for Benefits Eligibility) systemUsing the MEDI system to verify eligibility and monitor case statusWorking knowledge of the Illinois Medicaid Policy ManualExperience with Illinois Long-Term Care billing practices and reimbursement timelinesIllinois experience must be clearly reflected on your resume and will be verified.Preferred Additional ExperienceExperience using PointClickCare (PCC) softwareExperience working within a long-term care facility environmentUnderstanding how Medicaid eligibility impacts facility billing cyclesKey ResponsibilitiesFile and manage LTC Medicaid applicationsMonitor eligibility and case progressTrack and comply with all deadlines for appeals, backdating, and reopened casesCommunicate directly with Medicaid caseworkers to secure timely approvalsCommunicate directly with Business Office Managers and Regional Business Office Managers to ensure smooth processing and follow-through of all pending casesPrepare documentation for OIG cases and appealsEnsure approvals are obtained timely to protect reimbursementExcellent written and verbal communication skills are required.Work Environment & Candidate ProfileThis 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 independentlyBe highly detail-oriented and deadline-drivenThink critically and act quicklyWork well with othersBe adaptable and able to accept and tolerate procedural or policy changesMaintain professionalism in a fast-paced, evolving regulatory environmentPosition DetailsPart-Time: 24-28 hours per weekCompensation based on verified experienceIndependent role within a collaborative teamSalary $40,000-$50,000 a year pending experience