Medicaid Eligibility Technician

Position Summary

The Medicaid Eligibility Technician is responsible for accurately preparing, submitting and follow through for application approval for LTC Medicaid services for skilled nursing long-term care. This includes initial applications and redetermination applications.   This role ensures compliance with federal, state, and local regulations while maintaining accurate financial records and timely application.

Essential Duties

• Prepare and submit Medicaid applications for services for eligible residents. coordinating with residents and families to obtain all needed documents for approval including ULTC 100.2.
• Must have proven understanding of discretion needed in handling confidential information.
• Ability to problem-solve within area of expertise and escalate immediately for assistance when needed for complex issues.
• Exhibit patience and high ethical character even while dealing with difficult situations
• Monitor Medicaid pending accounts for communication from the county regarding additional information needs.  
• Track and resolve rejected or denied applications, coordinating with residents and families to obtain all needed documents for approval.

• Monitor 5615s for accuracy.
• Must show attention to detail and commitment to immediately correcting errors when they are discovered.

• Maintains accurate and up to date billing records.  May partner with Medicaid Billing Specialist for audits and reporting.
• Communicate with Executive Director, Business Office Manager, and Medicaid Billing Specialist any unresolved issues affecting approval.

• Serve as a subject matter expert on Medicaid eligibility, providing training and support on these topics when needed. Willingness and ability to exercise teamwork to successfully carry out the work of the organization in alignment with its values

• Other duties as assigned.

Qualifications

Basic Qualifications & Experience

• High school diploma or equivalent required; associate or bachelor’s degree in accounting, finance, or related field preferred. 
• Two plus years of experience in Medicaid eligibility/ billing or a related area.
• Knowledge of Medicaid programs
• Proficiency with billing software, Microsoft Excel, HER and housing management software (Yardi experience is a plus)
• Commitment to delivering a high level of service to internal customers, anticipating their needs and responding to their inquiries with an empathetic, professional and positive demeanor
• Skilled at communicating clearly both verbally and in writing, including the ability to provide non‐technical assistance in a simple, straightforward manner
• Strong attention to detail and excellent organization skills
• Ability to manage multiple priorities and meet deadlines
• Excellent written and verbal communication skills.

Working Conditions / Physical Requirements

• Light physical effort required by handling objects up to 20 pounds occasionally and/or up to 10 pounds frequently.
• Is subject to frequent interruptions.
• Interacts with residents, family members and visitors frequently.

Additional Information

If you are considering a position at Christian Living Communities | Cappella Living Solutions, we have a wide range of benefits to consider!  These may vary based on the status of the role (PT, FT, or PRN).  

•    Health Coverage

•    Health Savings Accounts 

•    Retirement (with match)

•    Dental, Vision, Disability & Life Insurance

•    Paid Time Off plan

We envision a warm and welcoming environment for all residents, team members, family members, and members of our communities – a place of belonging.  Please let us know if you require accommodation during the interview process.

We ask all applicants to carefully review the hiring salary range for each posted job opportunity, as we will not hire outside the predetermined range.  This position will be posted through March 23, 2026.  Job posting may close early due to the volume of applicants.    

All your information will be kept confidential according to EEO guidelines.