Long-Term Care Medicaid Specialist

Asbury Communities•Gaithersburg, MD

About The Position

Asbury is seeking a detail-oriented and knowledgeable Long-Term Care Medicaid Specialist to manage Medicaid and Benevolent Care application processes. The role also handles Medicaid Pending and Patient Liability aging, collaborates on collection activities, and updates income changes for recipients. This is a full-time opportunity based in Gaithersburg, Maryland, with compensation of $65,000–$75,000 annually. The specialist serves as a subject matter expert on Medicaid compliance with State and County guidelines. The position oversees application, reapplication, and approval processes across Asbury Communities, supports complicated applications and process challenges, and collaborates with clinical and operational teams to ensure applications are submitted accurately and on time. It also supports Facility Billing Counselors with aging reviews and collections, updates recipient income changes, and maintains policies and procedures related to Medicaid applications.

Requirements

Bachelor’s degree in a related field or equivalent years of related work experience.
One to two years of accounting experience with a computerized accounting system.
Two to five years of Medicaid application experience.
High level of personal accountability, attention to detail, and organizational skills.
Ability to work and think strategically and identify and implement efficiencies.
Excellent communication skills.
Comfort with technology and ability to adapt to and effectively use various software platforms.
Above-average knowledge of Microsoft Office, including Word, Excel, PowerPoint, and Outlook, and of databases and/or data management tools.

Responsibilities

Serve as the Medicaid subject matter expert and ensure compliance with State and County guidelines.
Oversee Medicaid and Benevolent Care application, reapplication, and approval processes across all Asbury Communities, ensuring adherence to policies and procedures.
Support complicated applications and process challenges.
Collaborate with clinical and operational teams to ensure Medicaid applications are submitted timely and accurately.
Review Medicaid Pending and Patient Liability aging.
Assist Facility Billing Counselors and collaborate with them on collection activities.
Update income changes for recipients.
Create, review, and maintain policies and procedures related to the Medicaid application process.