Medicaid Liaison

Certus Healthcare Management; Mayfield Heights (OH); On-site; USD 36,000 - 44,000; Full time

Benefits offered by this job

Health, Dental, Vision insurance

401K with company matching

Paid time off

Job summary

Certus Healthcare Management is seeking a Medicaid Liaison to support eligibility and applications across our Ohio skilled nursing facilities. The role collaborates with residents, families, facility teams, and county offices to secure coverage and resolve issues.

The position is Monday–Friday, 9am–5pm, based at our Mayfield Heights corporate office, with negotiable salary starting at $40,000 and comprehensive benefits.

Qualifications

• Experience with Ohio Medicaid eligibility and applications preferred.
• Background in skilled nursing, long-term care, resident financial services, or accounts receivable preferred.
• Proficiency in Microsoft Office; PointClickCare experience is a plus.
• Ability to manage multiple cases and deadlines with strong organizational skills.
• Professional communication skills and a patient, supportive approach when working with residents and families.

Responsibilities

• Coordinate Medicaid applications, renewals, and conversions for long-term care residents.
• Assist residents and families with gathering financial records and required documentation.
• Track pending applications, outstanding requests, and deadlines through final determination.
• Follow up with county caseworkers and other agencies regarding application status and missing information.
• Identify barriers to approval and promptly communicate concerns to the appropriate team.
• Assist with resolving denials, coverage gaps, and requests for additional documentation.
• Maintain accurate records and provide regular updates to the Accounts Receivable team and facility leadership.
• Handle resident and financial information with confidentiality and professionalism.

Skills

Strong organizational skills

Professional communication

Independent work

Tools

Microsoft Office

PointClickCare

Job description

• Location 6120 Parkland Boulevard,Mayfield Heights, OH, 44124,United States
• Job Category Accounts Receivable, Data Entry, Business Office
• Employee Type Full Time

Contact information

Description

Certus Healthcare Management operates 13 communities across Ohio, dedicated to providing exceptional care and rehabilitation services to diverse populations. Our mission is to treat every resident like family, ensuring a personalized environment that fosters growth and well-being. Our communities provide services to those living in Toledo, Cleveland, Youngstown, St. Clairsville and Zanesville areas.

We are seeking an organized, detail-oriented Medicaid Liaison to support the Medicaid eligibility and application process for residents across our skilled nursing facilities. This position works closely with residents, families, facility teams, and county agencies to help secure coverage and resolve Medicaid-related issues.

This position is Monday through Friday from 9am to 5pm, with flexibility in start and end times. The position works out of our Corporate Office located in Mayfield Heights, Ohio.

Starting negotiable salary for this position is $40,000.00

Full Time Benefits include but are not limited to:

• Health, Dental, Vision, and Voluntary insurance available after 30 days of employment
• 401K with company matching starting after 90 days
• Vacation/Sick Time Package
• Referral programs earning up to $2000 per referral; unlimited referrals!
• Employee Discount Program
• Employee Engagement Incentives
• Company Giveaways
• Additions can include:
• Early Pay via OnShift Wallet (for hourly roles)
• Longevity Program
• Learning Management system including FREE Continuing Education for multiple certifications and licensures.
• No cost Flu and COVID-19 vaccines

Responsibilities

• Coordinate Medicaid applications, renewals, and conversions for long-term care residents.
• Assist residents and families with gathering financial records and required documentation.
• Track pending applications, outstanding requests, and deadlines through final determination.
• Follow up with county caseworkers and other agencies regarding application status and missing information.
• Identify barriers to approval and promptly communicate concerns to the appropriate team.
• Assist with resolving denials, coverage gaps, and requests for additional documentation.
• Maintain accurate records and provide regular updates to the Accounts Receivable team and facility leadership.
• Handle resident and financial information with confidentiality and professionalism.

Requirements

Qualifications

• Experience with Ohio Medicaid eligibility and applications preferred.
• Background in skilled nursing, long-term care, resident financial services, or accounts receivable preferred.
• Strong organizational skills and the ability to manage multiple cases and deadlines.
• Professional communication skills and a patient, supportive approach when working with residents and families.
• Proficiency in Microsoft Office; PointClickCare experience is a plus.
• Ability to work independently and follow through on outstanding items.

Summary

This position is ideal for someone who could oversee multiple facets of data entry, accounts , and is looking to enter a role with growth potential. We are interested in someone who is ready to take on a challenge and work alongside our current team.