Medicaid specialist assistant
Listed on 2026-06-26
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Healthcare
Medical Billing and Coding, Healthcare Administration
Overview
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.
Responsibilities- File and manage Long-Term Care 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 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
- Verifiable, direct experience with filing LTC Medicaid applications and managing cases from initial filing through approval
- Experience working directly with Medicaid caseworkers to resolve pending issues
- Experience handling OIG-related matters
- Experience preparing and managing appeals, including participation in administrative hearings
- Experience reopening denied cases and understanding procedural requirements
- Ability to manage strict filing deadlines and timely submission requirements
- Experience tracking deadlines related to backdating coverage and appeals filings
- 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 Point Click Care (PCC) software
- Experience working within a long-term care facility environment
- Understanding how Medicaid eligibility impacts facility billing cycles
- Excellent written and verbal communication skills
- Self-motivated and able to work independently
- Highly detail-oriented and deadline-driven
- Critical thinking and fast decision-making
- Ability to work well with others and adapt to procedural or policy changes
- Maintain professionalism in a fast-paced, evolving regulatory environment
- Part-Time: 30 hours per week
- Compensation based on verified experience
- Independent role within a collaborative team
- Salary $40,000-$50,000 a year pending experience
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