Medicaid Specialist

Aperion Care; Lincolnwood (IL); On-site; USD 55,000 - 75,000; Full time

Job summary

Aperion Care is seeking a Medicaid Specialist to support our skilled nursing facilities by ensuring accurate Medicaid billing, resolving reimbursement issues, and handling complex eligibility cases. The role collaborates with facility teams to optimize financial outcomes.

The ideal candidate has experience with Medicaid billing in long-term care, a strong understanding of eligibility processes, and the ability to analyze and resolve billing discrepancies in a fast-paced environment.

Qualifications

• Experience with Medicaid billing in SNF/long-term care environments.
• 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 needs.
• Document payer activity and follow-up using company-approved systems.
• Collaborate 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 knowledge

Analytical skills

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