Medicaid Pending Specialist

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.

• 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.

• 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.

• 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.