Medicaid Specialist

Aperion Care Corporate; Lincolnwood (IL); On-site; USD 65,000 - 90,000; Full time

Job summary

Aperion Care Corporate is seeking a detail‑driven Medicaid Specialist to support our skilled nursing facilities by ensuring accurate Medicaid billing and resolving reimbursement issues. You will collaborate with facility teams to drive strong financial outcomes and manage complex eligibility cases.

In this role, you will track applications, redeterminations, and admit packs, and coordinate with Business Office Managers to optimize processes.

Qualifications

• Experience with Medicaid billing, preferably in a skilled nursing or long‑term care environment.
• Strong understanding of Medicaid eligibility, authorization, and claims processes.
• Ability to analyze account discrepancies and resolve complex billing issues.

Responsibilities

• Manage and resolve complex Medicaid cases for SNF facilities.
• Track Medicaid applications, approvals, redeterminations, and admit packs.
• Assist facilities with Medicaid applications, redeterminations, and admit packs.
• Communicate with residents or families regarding Medicaid documentation or application needs.
• Document payer activity and follow‑up using company‑approved systems.
• Collaborate closely with Business Office Managers on admit packs and pending applications.
• Conduct monthly reviews with the Business Office Manager and Regional Business Office Managers.
• Prepare account write‑offs when collection efforts are exhausted.

Skills

Medicaid billing experience

Medicaid eligibility & claims

Account discrepancy analysis

Communication with staff and residents

Attention to detail

Billing systems proficiency

Tools

Billing software

Job description

Medicaid Specialist

Job Summary

We’re seeking a detail‑driven Medicaid Specialist to support our skilled nursing facilities (SNFs) by ensuring accurate Medicaid billing, resolving reimbursement issues, and managing complex eligibility cases. This role is ideal for someone who thrives in a fast‑paced environment, understands Medicaid processes deeply, and enjoys collaborating with facility teams to drive strong financial outcomes.

Essential Duties

• Manage and resolve complex Medicaid cases for SNF facilities
• Track Medicaid applications, approvals, redeterminations, and admit packs.
• Assist facilities with Medicaid applications, redeterminations, and admit packs.
• Communicate with residents or families regarding Medicaid documentation or application needs
• Document payer activity and follow‑up using company‑approved systems
• Collaborate closely with Business Office Managers on admit packs and pending applications
• Conduct monthly reviews with the Business Office Manager and Regional Business Office Mangers
• Prepare account write‑offs when collection efforts are exhausted

What You Bring

• Experience with Medicaid billing, preferably in a skilled nursing or long‑term care environment
• Strong understanding of Medicaid eligibility, authorization, and claims processes
• Ability to analyze account discrepancies and resolve complex billing issues
• Excellent communication skills with facility staff, residents, and families
• High attention to detail and strong organizational skills
• Proficiency with billing systems and electronic documentation tools