Medicaid Specialist

The Grand Rehabilitation and Nursing at Guilderland is currently seeking a Medicaid Specialist to join our team!

Job Title: Medicaid Specialist
Position Type: Full-Time (8:00am-4:00pm – flexible hours available)
Pay Range: $25.00 to $28.00 per hour (full benefits – negotiable)

*NOW OFFERING SAME-DAY PAY!*

Position Overview

We are looking for a highly organized and compassionate Medicaid Specialist to manage a broad spectrum of financial and administrative functions in our skilled nursing facility. This full-time role combines the critical responsibilities of Medicaid processing, resident billing, collections, and business office operations. You'll work closely with residents, families, and interdisciplinary teams to ensure financial matters are handled with professionalism, clarity, and accuracy.

Key Responsibilities

Medicaid Coordination & Application Support

• Oversee Medicaid applications and recertifications for residents

• Assist residents and families with gathering required documentation and understanding eligibility criteria

• Track application statuses, respond to state agency requests, and ensure timely submission

• Maintain an accurate Medicaid pending list and monitor spend-down processes

• Review and maintain accurate financial records, including private pay accounts and Medicaid conversion billing

• Conduct meetings to explain billing, Medicaid, and insurance coverage clearly and compassionately

• Maintain compliance with all Medicaid, Medicare, and insurance guidelines

• Generate and submit reports related to billing, aging, Medicaid conversion, and collections as needed

Qualifications & Requirements

• 1 years of experience in a long-term care facility or skilled nursing setting

• Direct experience with Medicaid application and recertification processes

• Strong knowledge of billing procedures, Medicare/Medicaid rules, and managed care guidelines

• Excellent communication, customer service, and interpersonal skills

• Highly organized, with the ability to manage multiple tasks and deadlines

• Experience with electronic medical records and financial software systems (e.g., PCC, MatrixCare, etc.) - preferred

• Knowledge of MEDS (Medicaid eligibility Decision System) - required

What We Offer

• Competitive Compensation: Commensurate with experience plus performance-based incentives

• Comprehensive Benefits: Health, Dental, Vision; 401(k); Generous PTO (paid time off), and more!

• Career Development: Training and advancement opportunities within our network

• Positive Work Environment: A team-focused setting where your contributions are valued and supported

How to Apply

Are you a detail-driven professional with a passion for helping residents navigate complex financial systems? Join The Grand at Guilderland as our Medicaid Specialist and make a meaningful impact on the lives of our residents. Apply online today and a personal recruiter will be in touch with you shortly.