Medicaid Coordinator

Apploi; New York (NY); On-site; USD 70,000 - 75,000; Full time

Benefits offered by this job

Comprehensive Medical & DentalCoverage

Generous PTO

401(k) Retirement Plan

Employee Recognition Program

Supportive, team-oriented environment

Company perks and employee discounts

Job summary

Apploi is seeking a knowledgeable Medicaid Coordinator to join our Massapequa, NY team. You will manage Medicaid applications, ensure regulatory compliance, and guide residents and families through the financial eligibility process.

In this full-time on-site role, you will oversee applications, coordinate with state agencies, and generate insightful reports on billing and conversions while maintaining strict accuracy and attention to detail.

Qualifications

• Minimum 2 years of experience in a long-term care or skilled nursing facility.
• At least 1 year of direct experience with Medicaid applications and re-certifications.
• Proficiency in Microsoft Word and Excel.
• Strong knowledge of billing procedures, Medicare/Medicaid rules, and managed care guidelines.
• Excellent communication, customer service, and interpersonal skills.

Responsibilities

• Oversee Medicaid applications and re-certifications for residents.
• Assist residents and families in gathering documentation and understanding eligibility requirements.
• Track application statuses and respond promptly to state agency requests to ensure timely submissions.
• Maintain an accurate Medicaid pending list and monitor spend-down processes.
• Review and manage financial records, including private pay accounts and Medicaid conversion billing.
• Conduct meetings with residents and families to explain billing, Medicaid, and insurance coverage.
• Ensure strict compliance with Medicaid, Medicare, and managed care regulations.
• Generate and submit reports related to billing, aging, Medicaid conversions, and collections.

Skills

Long-term care experience

Medicaid applications

Billing knowledge

Communication skills

Attention to detail

Tools

Microsoft Word

Excel

Medicaid Portal

MEDS system

Job description

Position: Medicaid Coordinator
Location: Nassau County, New York
Shift: Full-Time
Salary: $70,000 – $75,000

About the Role

We are seeking a knowledgeable and detail-oriented Medicaid Coordinator to join our team in Massapequa, NY. The ideal candidate will play a key role in managing Medicaid applications, ensuring compliance with state and federal regulations, and assisting residents and families through the financial eligibility process.

Key Responsibilities

• Oversee all Medicaid applications and re-certifications for residents.

• Assist residents and families in gathering documentation and understanding eligibility requirements.

• Track application statuses and respond promptly to state agency requests to ensure timely submissions.

• Maintain an accurate Medicaid pending list and monitor spend-down processes.

• Review and manage financial records, including private pay accounts and Medicaid conversion billing.

• Conduct meetings with residents and families to explain billing, Medicaid, and insurance coverage.

• Ensure strict compliance with Medicaid, Medicare, and managed care regulations.

• Generate and submit reports related to billing, aging, Medicaid conversions, and collections.

Qualifications

• Minimum 2 years of experience in a long-term care or skilled nursing facility.

• At least 1 year of direct experience with Medicaid applications and re-certifications.

• Medicaid Portal experience preferred.

• MEDS system experience preferred.

• Proficiency in Microsoft Word and Excel required.

• Strong knowledge of billing procedures, Medicare/Medicaid rules, and managed care guidelines.

• Excellent communication, customer service, and interpersonal skills.

• Strong attention to detail and the ability to work independently in a fast-paced environment.

Benefits

• Comprehensive Medical & Dental Coverage

• Generous Paid Time Off (PTO)

• 401(k) Retirement Plan

• Employee Recognition Program

• Supportive, team-oriented work environment

• Company perks and employee discounts