Medicaid specialist assistant

Allure HCS -Part-Time Illinois Medicaid Long-Term Care Specialist (30 Hours/Week) Verified Medicaid Case Experience Required – Illinois Experience Strongly Preferred We are seeking a highly experienced Medicaid professional with direct, verifiable, hands-on experience managing Long-Term Care Medicaid cases from application through approval, appeals, and reopening denied cases. This is NOT an entry-level position. General Medicaid knowledge alone is NOT sufficient. Out-of-state Medicaid experience will be reviewed; however, Illinois Medicaid experience is strongly preferred, as each state operates independently with different systems, policies, and procedural requirements. MANDATORY QUALIFICATIONS – DO NOT APPLY UNLESS YOU MEET THESE REQUIREMENTSThe candidate must have verifiable, direct experience with: Filing Long-Term Care Medicaid applications Managing cases from initial filing through approval Working directly with Medicaid caseworkers to resolve pending issues Handling OIG-related matters Preparing and managing appeals, including participation in administrative hearings Reopening denied cases and understanding procedural requirements Managing strict filing deadlines and timely submission requirements Tracking deadlines related to: Backdating coverage Appeals filings Reconsiderations and reopening denied cases Strong Preference Given To Candidates With Illinois Experience Including: Filing applications through the ABE (Application for Benefits Eligibility) system Using the MEDI system to verify eligibility and monitor case status Working knowledge of the Illinois Medicaid Policy Manual Experience with Illinois Long-Term Care billing practices and reimbursement timelines Illinois experience must be clearly reflected on your resume and will be verified. Preferred Additional Experience Experience using PointClickCare (PCC) software Experience working within a long-term care facility environment Understanding how Medicaid eligibility impacts facility billing cycles