Medicaid Enrollment Specialist

Graceworks Lutheran Services; Joplin (MO); On-site; USD 36,000 - 48,000; Full time

Job summary

ACCESS Family Care in Joplin, Missouri is seeking a Medicaid Enrollment Specialist to help patients access healthcare coverage. The role focuses on eligibility, enrollment, renewals, and application processing, ensuring compliance with federal and state regulations.

Ideal candidates have 2–3 years in Medicaid enrollment, strong problem-solving and communication skills, and proficiency with EHR systems and Microsoft Office.

Qualifications

• Minimum 2–3 years of Medicaid enrollment or related experience.
• Knowledge of MO HealthNet or Medicaid eligibility guidelines.
• Ability to review and submit documentation for eligibility.
• Strong communication and organizational skills.

Responsibilities

• Assist patients with Medicaid applications, renewals, and eligibility issues.
• Review, verify, and submit required documentation for eligibility.
• Monitor application status and follow up with patients and agencies.
• Support retroactive Medicaid requests and special eligibility circumstances.
• Educate patients on benefits and renewal processes.
• Maintain accurate documentation in electronic health records.
• Participate in audits and ongoing training.
• Contribute to workflow improvements and staff training.
• Promote ACCESS Family Care's mission and core values.

Skills

Medicaid enrollment

Eligibility knowledge

Documentation review

HIPAA compliance

EHR proficiency

Communication

Education

High school diploma or equivalent

Associate's or higher (preferred)

Tools

Microsoft Office

EHR systems

Job description

ACCESS Family Care is seeking a dedicated and detail-oriented Medicaid Enrollment Specialist to join our team in Joplin, Missouri. This position plays a critical role in helping patients access healthcare coverage by providing expert guidance through Medicaid eligibility, enrollment, renewals, and application processes. The ideal candidate is passionate about serving underserved populations and committed to making healthcare more accessible for the communities we serve.

Position Summary

The Medicaid Enrollment Specialist provides advanced eligibility and enrollment support to patients seeking Medicaid and other public health coverage programs. This role serves as a resource for complex enrollment cases, assists team members with escalated situations, and ensures applications are processed accurately, timely, and in compliance with federal and state regulations.

Key Responsibilities

• Assist patients with Medicaid applications, renewals, and eligibility-related issues.
• Review, verify, and submit documentation required for eligibility determination.
• Monitor application status and follow up with patients and state agencies as needed.
• Support retroactive Medicaid requests and special eligibility circumstances.
• Serve as a resource for complex cases and assist with troubleshooting denials, terminations, and application discrepancies.
• Educate patients on Medicaid benefits, eligibility requirements, and renewal processes.
• Maintain accurate documentation within electronic health records and enrollment systems.
• Participate in audits, quality assurance activities, and ongoing training.
• Support workflow improvements and assist in training new team members.
• Promote ACCESS Family Care's mission and core values through compassionate, patient-centered service.

Qualifications

Required:

• High school diploma or equivalent.
• Minimum of 2-3 years of experience in Medicaid enrollment, eligibility services, healthcare registration, patient services, or a related field.
• Strong knowledge of Medicaid eligibility guidelines and application processes.
• Excellent problem-solving, communication, and organizational skills.
• Proficiency with Electronic Health Records (EHR) systems and Microsoft Office applications.
• Ability to maintain confidentiality and comply with HIPAA requirements.

Preferred:

• Associate's or Bachelor's degree.
• Experience in a Federally Qualified Health Center (FQHC) or community health setting.
• Knowledge of Missouri Medicaid (MO HealthNet).
• Certified Application Counselor (CAC) certification or willingness to obtain certification.

Why Join ACCESS Family Care?

At ACCESS Family Care, our mission is to improve the health of medically underserved communities throughout southwest Missouri. We are guided by our core values:

• Compassion
• Access
• Respect

We offer the opportunity to make a meaningful difference in patients' lives by helping them obtain healthcare coverage and access the services they need.

Schedule

• Full-time
• Monday through Friday
• Occasional travel to ACCESS Family Care locations may be required.