Medicaid Specialist

We are seeking a Medicaid Specialist to support our clients through the full lifecycle of Georgia Medicaid eligibility
, including intake, documentation gathering, application preparation, submission, follow‑up, and appeals. This role is ideal for a detail‑oriented professional who understands Georgia DFCS processes
, Medicaid long‑term care eligibility rules
, and the practical realities of navigating state systems.

This is a part‑time, hybrid position based in Alpharetta, Georgia, with flexibility for remote work and periodic in‑office collaboration.

Case Review — Evaluate client circumstances, financials, and supporting documents to determine Medicaid eligibility pathways (ABD, LTC, QMB, CCSP, etc.). Understands nursing home Medicaid and the Georgia Waiver program.

Documentation Management — Identify required records, request missing items, organize submissions, and maintain compliance-ready files. Assists clients in gathering the appropriate documents.

Georgia Medicaid Application Filing — Prepare and submit applications through Georgia Gateway, DFCS, or other required channels. Tracks the application through the system, supplementing with additional information when needed.

Communication With Agencies — Track case status, respond to DFCS requests, and ensure timely follow‑up and updates counsel and client as directed.

Appeals & Fair Hearings — Draft appeal requests, prepare supporting evidence, and assist counsel with hearing preparation when a denial occurs.

Client Support — Provide clear, empathetic guidance to clients and families navigating complex eligibility issues. Problem solves and gently guides the client.

Compliance & Confidentiality — Maintain strict adherence to HIPAA, DFCS rules, and the firm's internal practice standards.

* Demonstrated experience with Georgia Medicaid eligibility
, DFCS workflows, and Gateway submissions

* Strong understanding of income/asset rules
, spend‑down strategies, and documentation requirements

* Ability to manage multiple cases with accuracy and urgency

* Excellent communication skills with clients, agencies, and internal team members

* Familiarity with long‑term care planning, special needs planning, and estate planning and how they all work together to provide the best client experience

* Computer literacy, experience in a law firm environment, high professionalism and discretion

• Part‑time (10–25 hours/week depending on caseload)
• Hybrid — combination of remote work and periodic in‑office days in Georgia
• Flexible scheduling with accountability for deadlines and client needs
• Compensation — Competitive hourly rate or part‑time salary commensurate with experience, with opportunities for growth as the practice expands.