Medicaid specialist assistant Knox County
Alluregalesburg, Chicago, IL, United States
Part-Time Illinois Medicaid Long-Term Care Specialist (30 Hours/Week)
Verified Medicaid Case Experience Required – Illinois Experience Strongly Preferred
We are seeking a highly experienced Medicaid professional with direct, verifiable, hands‑on experience managing Long-Term Care Medicaid cases from application through approval, appeals, and reopening denied cases.
This is NOT an entry-level position.
General Medicaid knowledge alone is NOT sufficient.
Out-of-state Medicaid experience will be reviewed; however,
Illinois Medicaid experience is strongly preferred , as each state operates independently with different systems, policies, and procedural requirements.
MANDATORY QUALIFICATIONS – DO NOT APPLY UNLESS YOU MEET THESE REQUIREMENTS
The candidate must have
verifiable, direct experience
with:
Filing Long-Term Care Medicaid applications
Managing cases from initial filing through approval
Working directly with Medicaid caseworkers to resolve pending issues
Handling OIG-related matters
Preparing and managing appeals, including participation in administrative hearings
Reopening denied cases and understanding procedural requirements
Managing strict filing deadlines and timely submission requirements
Tracking deadlines related to:
Backdating coverage
Appeals filings
Reconsiderations and reopening denied cases
Strong Preference Given To Candidates With Illinois Experience Including:
Filing applications through the
ABE (Application for Benefits Eligibility) system
Using the
MEDI system
to verify eligibility and monitor case status
Working knowledge of the Illinois Medicaid Policy Manual
Experience with Illinois Long-Term Care billing practices and reimbursement timelines
Illinois experience must be clearly reflected on your resume and will be verified.
Preferred Additional Experience
Experience using
PointClickCare (PCC)
software
Experience working within a long-term care facility environment
Understanding how Medicaid eligibility impacts facility billing cycles
Key Responsibilities
File and manage LTC Medicaid applications
Monitor eligibility and case progress
Track and comply with all deadlines for appeals, backdating, and reopened cases
Communicate directly with Medicaid caseworkers to secure timely approvals
Communicate directly with Business Office Managers and Regional Business Office Managers to ensure smooth processing and follow-through of all pending cases
Prepare documentation for OIG cases and appeals
Ensure approvals are obtained timely to protect reimbursement
Excellent written and verbal communication skills are required.
Work Environment & Candidate Profile
This role offers
excellent guidance and strong team support from management and coworkers.
Collaboration is valued, and you will be part of a supportive team environment.
However, the ideal candidate must:
Be self‑motivated and able to work independently
Be highly detail‑oriented and deadline‑driven
Think critically and act quickly
Work well with others
Be adaptable and able to accept and tolerate procedural or policy changes
Maintain professionalism in a fast‑paced, evolving regulatory environment
Position Details
Part-Time: 30 hours per week
Compensation based on verified experience
Independent role within a collaborative team
Salary $40,000-$50,000 a year pending experience
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Verified Medicaid Case Experience Required – Illinois Experience Strongly Preferred
We are seeking a highly experienced Medicaid professional with direct, verifiable, hands‑on experience managing Long-Term Care Medicaid cases from application through approval, appeals, and reopening denied cases.
This is NOT an entry-level position.
General Medicaid knowledge alone is NOT sufficient.
Out-of-state Medicaid experience will be reviewed; however,
Illinois Medicaid experience is strongly preferred , as each state operates independently with different systems, policies, and procedural requirements.
MANDATORY QUALIFICATIONS – DO NOT APPLY UNLESS YOU MEET THESE REQUIREMENTS
The candidate must have
verifiable, direct experience
with:
Filing Long-Term Care Medicaid applications
Managing cases from initial filing through approval
Working directly with Medicaid caseworkers to resolve pending issues
Handling OIG-related matters
Preparing and managing appeals, including participation in administrative hearings
Reopening denied cases and understanding procedural requirements
Managing strict filing deadlines and timely submission requirements
Tracking deadlines related to:
Backdating coverage
Appeals filings
Reconsiderations and reopening denied cases
Strong Preference Given To Candidates With Illinois Experience Including:
Filing applications through the
ABE (Application for Benefits Eligibility) system
Using the
MEDI system
to verify eligibility and monitor case status
Working knowledge of the Illinois Medicaid Policy Manual
Experience with Illinois Long-Term Care billing practices and reimbursement timelines
Illinois experience must be clearly reflected on your resume and will be verified.
Preferred Additional Experience
Experience using
PointClickCare (PCC)
software
Experience working within a long-term care facility environment
Understanding how Medicaid eligibility impacts facility billing cycles
Key Responsibilities
File and manage LTC Medicaid applications
Monitor eligibility and case progress
Track and comply with all deadlines for appeals, backdating, and reopened cases
Communicate directly with Medicaid caseworkers to secure timely approvals
Communicate directly with Business Office Managers and Regional Business Office Managers to ensure smooth processing and follow-through of all pending cases
Prepare documentation for OIG cases and appeals
Ensure approvals are obtained timely to protect reimbursement
Excellent written and verbal communication skills are required.
Work Environment & Candidate Profile
This role offers
excellent guidance and strong team support from management and coworkers.
Collaboration is valued, and you will be part of a supportive team environment.
However, the ideal candidate must:
Be self‑motivated and able to work independently
Be highly detail‑oriented and deadline‑driven
Think critically and act quickly
Work well with others
Be adaptable and able to accept and tolerate procedural or policy changes
Maintain professionalism in a fast‑paced, evolving regulatory environment
Position Details
Part-Time: 30 hours per week
Compensation based on verified experience
Independent role within a collaborative team
Salary $40,000-$50,000 a year pending experience
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