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Medicaid Eligibility Specialist

Next Step Health Care • Worcester, MA, US • published 2026-10-03 15:14:19.391335

Description

**Full Time Position** **The Hermitage Healthcare is seeking an exceptional Medicaid Eligibility Specialist** ***Responsibilities include but are not limited to:*** * Review and approve all Medical Eligibility Applications prior to submission. * Review, approve, and submit every Medicaid Financial Eligibility Application and attached documentation for assigned SNFs. * Proactively contact County representative for assigned SNFs to assure applications are progressing and expedite requests for additional information in advance of formal notice. * Interface with customer or representative to secure new grants (from County submission until Grant Approval) and to maintain grant status (Eligibility Re\-Determinations). * Determine response to Grant Discontinuation and/or Denials. Lead response, which may include Appeal, Re\-Application, or Acceptance. * Recommend legal or outsourced services to Administrator. May liaise on behalf of SNF. * Communicate billing requirements to SNF based on Grant Approval or Denial, e.g. Retro\-adjustments, Write\-off, Adjustments. * Monitor SNF activity for potential applications, new applications, pending applications (with A/R balances), approved applicat...

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