Medicaid Specialist - Temporary

Job Title: Medicaid Specialist - Temporary
Reports to: Director of Accounts Receivable
Education: Associate degree or 3+ years’ equivalent experience 
Required experience: Mass Health Insurance/Insurance Application Processor

Schedule: Full-time, 30-40 hours per week, M-F, in-house position between 8am- 5pm.
Pay Range (depending on experience): $20.00 to $24.00 per hour

• Manage Medicaid pending applications, re-determinations, and conversions
• Ensure accurate and timely completion of all Massachusetts Medicaid forms and documentation
• Meet with residents and families to gather information and provide guidance throughout the application process
• Monitor, track, and document progress of Medicaid cases to ensure timely approvals
• Communicate resident financial responsibility, including patient liability requirements
• Respond to denials, including preparing appeals and reapplications as needed
   

• Proven experience with Massachusetts Medicaid application process (required)
• Prior experience in a nursing home or long-term care setting strongly preferred
• Strong organizational skills with exceptional attention to detail
• Excellent verbal and written communication skills
• Ability to manage multiple cases and deadlines effectively
• Must have reliable transportation and ability to travel between facilities