Medicaid Eligibility Specialist

FreedomCare

. Provide clients with information and guidance on Medicaid eligibility requirements and benefits .

Posted 10/12/2026full-timeRemote • Pennsylvania • United StatesJuniorMid-Level💰 $22 - $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Medicaid eligibility requirements and benefits, with a strong focus on client advocacy and support. Proficient in managing Medicaid processes, ensuring compliance, and utilizing case management software to enhance client services.

Highest-signal resume keywords

Medicaid Eligibility ExpertiseClient Support ExperienceCase Management SkillsRegulatory Compliance KnowledgeSalesforce Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medicaid Application ProcessMedicaid Spenddown RequirementsClient EducationDocumentation ManagementData AnalysisRecord KeepingProcess DesignIssue ResolutionTraining StaffBenefits Coordination

Soft Skills

Strong Communication SkillsInterpersonal SkillsOrganizational SkillsTime Management SkillsAttention to Detail

Tools & Technologies

SalesforceCase Management Software

Industry Keywords

MedicaidHealthcare AdministrationSocial ServicesPublic HealthPennsylvania Medicaid

About the role

Key responsibilities & impact

Provide clients with information and guidance on Medicaid eligibility requirements and benefits
Address client inquiries and concerns related to Medicaid applications, renewals, and coverage
Manage alternative resources for clients to meet Medicaid eligibility requirements
Conduct client education sessions on Medicaid programs and benefits
Serve as subject matter expert on Pennsylvania Medicaid spenddown requirements through clients’ pre-care and on-care status
Monitor and manage the Medicaid renewal process for existing clients
Notify clients of renewal deadlines and assist with required documentation
Ensure renewals are processed timely to avoid lapses in coverage
Maintain accurate records of verification processes and outcomes
Update patient records in Salesforce to reflect current Medicaid status
Design Medicaid eligibility and spenddown processes and trackability reports in Salesforce
Serve as point of contact for Medicaid inquiries from clients, caregivers, and health plan partners
Assist clients in understanding Medicaid eligibility, benefits, and application processes
Advocate for clients to ensure they receive appropriate Medicaid services
Respond to inquiries from patients and healthcare providers regarding Medicaid coverage and eligibility
Collaborate with departments, case managers, and healthcare professionals to support patient access to Medicaid benefits
Assist with training staff on Medicaid verification procedures and policies
Identify and resolve issues affecting clients’ Medicaid eligibility or coverage
Work with government agencies and stakeholders to resolve complex Medicaid-related cases
Ensure compliance with relevant regulations

Requirements

What you’ll need

Associate's or Bachelor's degree in Social Work, Healthcare Administration, Public Health, or a related field preferred
Minimum of 2 years of experience in Medicaid, healthcare, or social services
Experience in client support, case management, or benefits coordination
Minimum of 2 years of understanding of the Medicaid eligibility and application process for the state of Pennsylvania
Excellent organizational and time management skills
Proficient in using case management software and other relevant technology
Strong communication and interpersonal skills, with the ability to work effectively with diverse populations
Ability to analyze complex information and make informed decisions
In-depth knowledge and understanding of Medicaid policies, regulations, and procedures
High level of attention to detail

Benefits

Comp & perks

Competitive compensation
Medical benefits
Retirement plans
Wellness programs
Fun company events
Ongoing learning opportunities to grow your career
Inclusive environment
Equal Opportunity Employer