Medicaid Pending Specialist

Medicaid Pending Specialist

Join our team as a Medicaid Pending Specialist at Creative Solutions In Health Care. We’re looking for professionals to support facilities through the Medicaid eligibility and reimbursement process, ensuring compliance, accuracy, and timely communication.

• 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 completion of Medicaid applications, ensuring all 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 or 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.

• Minimum five (5) years of professional experience.
• Working knowledge of Long‑Term Care Medicaid eligibility.
• Proficiency in Microsoft Office (Excel, Word, 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.

• 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.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Mid‑Senior level

Full‑time

Other

Hospitals and Health Care

Dallas, TX