Medicaid Pending Specialist

Creative Solutions In Healthcare • Dallas, TX

5d

About The Position

Medicaid Pending Specialist Join Our Team as a Medicaid Pending Specialist! Make a difference behind the scenes by supporting facilities through the Medicaid eligibility and reimbursement process. As a Pending Facility Support Coordinator, you'll ensure compliance, accuracy, and timely communication across multiple facilities — helping residents receive the financial and clinical support they need while empowering facility teams to stay on track. Your Impact as a Pending Facility Support Coordinator: Provide guidance and support to facility staff on MEPD policies and procedures. Identify facilities requiring assistance and coordinate efforts to resolve concerns efficiently. Review and assist with the completion of Medicaid applications, ensuring all required documentation is accurate and complete. Maintain regular communication with facility staff, regional staff, caseworkers, and other stakeholders to promote timely case resolution. Participate in private aging calls to identify and address Medicaid/Medicaid Pending related issues. Travel to facilities as needed to provide on-site support and training. Maintain confidentiality and adhere to all state and federal Medicaid regulations. Submit reports and reviews following facility visits. Perform other duties as assigned. What Makes You a Great Fit: Minimum five (5) years of professional experience. Working knowledge of Long-Term Care Medicaid Eligibility. Proficient in Microsoft Office, Excel, Word, and Outlook. Strong attention to detail and organizational skills. Ability to prioritize tasks and meet deadlines in a fast-paced environment. Excellent communication and interpersonal skills to work effectively with residents, staff, and external partners. Genuine care for and interest in elderly and disabled individuals. Reliable, trustworthy, and consistently present.

Requirements

• Minimum five (5) years of professional experience.
• Working knowledge of Long-Term Care Medicaid Eligibility.
• Proficient in Microsoft Office, Excel, Word, and Outlook.
• Strong attention to detail and organizational skills.
• Ability to prioritize tasks and meet deadlines in a fast-paced environment.
• Excellent communication and interpersonal skills to work effectively with residents, staff, and external partners.
• Genuine care for and interest in elderly and disabled individuals.
• Reliable, trustworthy, and consistently present.

Responsibilities

• Provide guidance and support to facility staff on MEPD policies and procedures.
• Identify facilities requiring assistance and coordinate efforts to resolve concerns efficiently.
• Review and assist with the completion of Medicaid applications, ensuring all required documentation is accurate and complete.
• Maintain regular communication with facility staff, regional staff, caseworkers, and other stakeholders to promote timely case resolution.
• Participate in private aging calls to identify and address Medicaid/Medicaid Pending related issues.
• Travel to facilities as needed to provide on-site support and training.
• Maintain confidentiality and adhere to all state and federal Medicaid regulations.
• Submit reports and reviews following facility visits.
• Perform other duties as assigned.

Benefits

• Health, Dental, and Vision Insurance
• Ancillary Coverage: AD&D, Short-Term Disability, Cardiac, Cancer, Critical Illness, Hospital Confinement
• Whole and Term Life Insurance
• Tuition Reimbursement
• Paid Time Off
• Immediate 401(k) Eligibility
• Exceptional Corporate Support

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees