Medicaid Eligibility & Enrollment Specialist

Freedom Behavioral; Lake Charles (LA); On-site; USD 42,000 - 64,000; Full time

Job summary

Freedom Behavioral Hospital in Lake Charles, LA, seeks an experienced Medicaid Eligibility & Enrollment Specialist. You will help patients navigate Louisiana Medicaid applications, verify documentation, and secure enrollment, working closely with admissions, intake, and financial teams.

The role requires hands-on Louisiana Medicaid eligibility knowledge, clear communication, and the ability to manage multiple applications independently while ensuring compliance with regulations.

Qualifications

• Prior professional experience with Louisiana Medicaid eligibility and enrollment is mandatory.
• Experience completing and processing Louisiana Medicaid applications.
• Understanding Louisiana Medicaid requirements, documentation, and approval procedures.
• Experience resolving Medicaid delays, denials, or eligibility issues.

Responsibilities

• Identify uninsured/underinsured patients who may qualify for Louisiana Medicaid.
• Assist patients with Medicaid applications, documentation, and enrollment.
• Navigate Louisiana Medicaid eligibility systems and processes.
• Follow up on pending applications and resolve issues.
• Coordinate with state agencies and managed care organizations.
• Identify opportunities for retroactive eligibility when applicable.
• Work with admissions, intake, and financial teams to ensure timely coverage.
• Maintain accurate documentation and comply with regulations.

Skills

Louisiana Medicaid eligibility

Enrollment processing

Documentation management

Communication

Problem-solving

Independent work

Job description

Freedom Behavioral Hospital | Lake Charles, Louisiana

Position Type: Full-Time

Location: Lake Charles, LA

Position Overview

Freedom Behavioral is seeking an experienced, highly motivated Medicaid Eligibility & Enrollment Specialist to join our team in Lake Charles, Louisiana.

Prior hands-on experience with Louisiana Medicaid eligibility, applications, and enrollment is required. We are looking for an individual who understands Louisiana Medicaid processes and can effectively navigate eligibility requirements, resolve application barriers, and assist patients in obtaining coverage.

Key Responsibilities

• Identify uninsured and underinsured patients who may qualify for Louisiana Medicaid.
• Assist patients and families with Medicaid applications, documentation, and enrollment.
• Navigate Louisiana Medicaid eligibility systems and application processes.
• Follow up on pending applications and resolve eligibility or enrollment issues.
• Coordinate with Louisiana Medicaid representatives, state agencies, and managed care organizations.
• Identify opportunities for retroactive Medicaid eligibility when applicable.
• Work closely with hospital admissions, intake, and financial teams to ensure timely coverage.
• Maintain accurate documentation and comply with all applicable regulations.

Required Qualifications

• Prior professional experience working directly with Louisiana Medicaid eligibility and enrollment is mandatory.
• Demonstrated experience completing and processing Louisiana Medicaid applications.
• Strong understanding of Louisiana Medicaid eligibility requirements, documentation, and approval procedures.
• Experience resolving Medicaid application delays, denials, or eligibility complications.
• Excellent communication, organizational, and problem-solving skills.
• Ability to work independently and manage multiple applications.

Preferred Background

• Louisiana Medicaid Application Centers
• Louisiana Medicaid eligibility or enrollment departments
• Hospital Medicaid eligibility and financial counseling
• Medicaid application assistance programs
• Louisiana Medicaid managed care organizations

Why Join Freedom Behavioral?

At Freedom Behavioral, we are committed to improving access to quality behavioral healthcare throughout Louisiana. This position offers the opportunity to directly impact patient access to treatment while supporting the financial and operational success of our hospital.

Please note: Previous Louisiana Medicaid eligibility and enrollment experience is a requirement for consideration.

Freedom provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.