Legal Assistant - Medicaid Eligibility Specialist

Legal Assistant - Medicaid Eligibility Specialist

Polaris Law Group, LLC
• St. Charles, MO, US

Posted 2 days ago

Legal Assistant - Medicaid Eligibility Specialist - MO Health Net/Long-Term Care Applications

We are seeking a detail-oriented, compassionate, and highly organized Medicaid Eligibility Specialist to prepare, submit, and follow through on long-term-care Medicaid applications for clients.

This is NOT a government caseworker position — it’s a client-facing role inside a private elder law firm where you will have the time, support, and resources to do it right without overwhelming caseloads.

This position is ideal for:

• Former or current DSS/FSD Eligibility Specialists
• Former Income Maintenance Caseworkers
• Hospital-based Medicaid Eligibility Workers
• Skilled nursing facility admissions/Medicaid coordinators
• Elder Law Firm Legal Assistants or Paralegals
• Anyone with hands-on MO Health Net eligibility experience

• Prepare, submit, and manage MO Health Net / Medicaid long-term-care applications
• Review client income, assets, bank statements, deeds, and financial documents
• Communicate with DSS caseworkers and follow up on application status
• Guide families through spend-down rules, asset documentation, and required verifications
• Maintain accurate case notes and workflow within our systems (Actionstep, Lawmatics)
• Work closely with attorneys, paralegals, and funding coordinators
• Provide updates to clients and explain Medicaid eligibility requirements in simple, understandable terms
• Track deadlines, respond to Requests for Information (RFI), and support clients through the approval process

This is a role where you are part of a team, not overwhelmed with 300+ cases and impossible deadlines.

Required:
Hands-on Missouri Medicaid eligibility experience

• (MO Health Net preferred; LTC experience strongly preferred)

Experience with:

• DSS/FSD eligibility processing
• Nursing home Medicaid applications
• Spend-down rules
• Asset verification
• Adjusted income calculations
• Ability to explain complex rules in a clear, friendly, non-legal way
• Strong communication and client service skills
• High attention to detail and follow-through
• Ability to handle sensitive family situations with empathy

Preferred but not required:

• Background in a hospital financial counseling or SNF admissions office
• Social work or human services background

$55,000

We’re an established, forward-thinking law firm with offices in Creve Coeur and St. Charles, Missouri
, representing clients in Missouri and Illinois. We help families protect what matters most through strategic estate planning and elder law services. Our firm is successful, profitable, and poised for growth.

• Supportive, client-focused team that values work-life balance.
• Opportunity to make a direct impact, helping families protect their homes, assets, and legacies.
• Professional growth—work alongside experienced attorneys in a boutique law firm environment.
• Competitive compensation package including 401(k) with employer match, health insurance, paid time off, and more.

Are you ready to join an award-winning and dynamically growing organization with unlimited potential? If you think you would be a great fit for our team, we want to hear from you!

Please send your resume and cover letter to our staff, standing by to bring you aboard.