Medicaid Application Support Specialist
About The Position
The Medicaid Application Support Specialist assists individuals across New Hampshire with understanding and completing Medicaid Long-Term Care (LTC) financial eligibility determinations and redeterminations. The role provides hands-on application support and education to individuals, families, providers, and administrators at nursing homes, assisted living facilities, hospitals, and other designated locations. Specialists serve as key contacts for applicants and families, helping improve understanding of eligibility requirements and increase timely, complete applications. This is a salaried, field-based position requiring daily travel to on-site locations across New Hampshire. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. ET. The position requires a private, distraction-free workspace with reliable high-speed internet, as well as reliable transportation for daily travel.
Requirements
- Bachelor’s degree in social work, human services, business administration, or a related field, or equivalent experience.
- 1–3 years of experience supporting individuals in long-term care, community health, case management, or related settings.
- Ability to read, write, and speak English clearly.
- Successful completion of a background check.
- Ability to work independently in a remote environment with minimal in-person supervision.
- Proficiency with Microsoft Teams, Outlook, Word, and Excel.
- Ability to quickly learn and apply New Hampshire Medicaid LTC financial eligibility criteria to unique cases.
- Strong communication skills, including the ability to explain processes and requirements to people with diverse communication and functional needs.
- Strong customer service orientation.
- Excellent organizational, documentation, and problem-solving skills.
- Sensitivity and professionalism when working with diverse populations.
- Private, distraction-free workspace with reliable high-speed internet.
- Reliable transportation for daily travel to locations across New Hampshire.
- Authorization to work in the U.S.; the position is not eligible for work authorization sponsorship.
Nice To Haves
- Familiarity with Federal and New Hampshire Medicaid eligibility processes.
- Experience with Long Term Care Eligibility requirements.
Responsibilities
- Travel to assigned on-site locations throughout New Hampshire to support nursing home staff and meet with residents and families to provide hands-on assistance.
- Review pending applications assigned by the LTC Eligibility Supervisor or Nursing Facility Point of Contact for completion and compliance with state and federal requirements.
- Explain complex requirements to individuals, families, and authorized representatives, and assist them with applications during scheduled in-person or virtual appointments.
- Guide applicants through required forms, gathering acceptable documentation, and submitting electronic and physical applications.
- Educate applicants on Medicaid LTC financial rules, including spend down, asset transfers, spousal impoverishment, and third-party liability.
- Review submitted documentation, identify missing verifications, and support applicants in gathering missing items.
- Provide updates to the Eligibility Supervisor and Project Management team about assistance provided and process barriers encountered.
- Uphold State, Federal, and PCG confidentiality and security protocols.
- Perform other duties as assigned.
Benefits
- Medical insurance
- Vision insurance
- Dental insurance
- 401(k) with discretionary employer match
- Paid time off
- Paid holidays
- Flexible spending accounts
- Additional employee perks
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
