Medicaid Specialist

Specialist

Remote

July 29, 2026

Application ends: October 27, 2026

REQUIREMENTS

Experience in the application/renewal process for Medicaid in LTC facilities
Experience with TMHP and SimpleLTC portals preferred
Proficient computer skills
Well organized and able to multitask
Attention to detail
Ability to travel, which includes a valid driver’s license and automobile insurance

RESPONSIBILITIES

Review referrals and Medicaid questionnaire from assigned facilities to determine eligibility for Medicaid.
Review all applications and supporting documentation prior to submitting to HHSC.
May have communication with the residents and/or family members regarding the application process and supporting documentation needed.
Maintain tracking system for all assigned Medicaid Pending residents to approval.
Maintain tracking system to monitor Medicaid renewals to avoid interruption in coverage.
Email communication with the facility and Regional Business Office Consultant to obtain information needed for the application process or renewal.
Attend biweekly calls with assigned facilities and Regional Business Office Consultant for assigned facilities to discuss statuses, approvals, denials and any information needed from the facility.
May assist with training the Business Office staff on the Medicaid application process.
Report any delays, barriers or denials to the Senior Medicaid Advocate.
Report weekly to the Senior Medicaid Advocate any outstanding items needed for application/renewal completion as well as the status on any denials.
Ensure compliance with all State laws in relation to your position.
Adherence to the Organization’s Compliance Plan and Code of Ethics.
May occasionally assist other departments within the Central Billing Office. • Other duties, responsibilities and activities may change or assigned at any time with or without notice.