Job Description

Position Summary

The Medicaid Eligibility Coordinator is primarily responsible for managing and maintaining Medicaid eligibility and redetermination processes for residents. This role ensures accurate and timely submission of Medicaid applications and renewals, coordinates closely with residents and families, and stays current with Medicaid program requirements. The position also provides support for the Business Office and assists with the resident move-in **** process, ensuring a seamless transition into the Community.

Essential Duties

• Complete and submit Medicaid applications, renewals, and redeterminations for residents in accordance with state and federal guidelines.
• Track and manage Medicaid cases to ensure continued coverage and prevent lapses in eligibility.
• Collect, review, and organize required documentation (e.g., financial statements, ID, insurance, income/assets).
• Serve as primary contact for Medicaid caseworkers, residents, families regarding eligibility and application status
• Maintain detailed and confidential records for all Medicaid cases
• Monitor and respond to notices or communications from Medicaid agencies promptly
• Educate families and responsible parties about Medicaid processes, required timelines, and documentation needs
• Assist with gathering and verifying financial and payer source information (Medicaid or other) during the admission process
• Ensure necessary documentation is collected and entered accurately into internal systems
• Ensure compliance with HIPAA and all Medicaid-related regulatory requirements.
• Assist with monthly reporting and audits related to resident financials and Medicaid tracking.
• Help complete resident agreements and other admission forms
• Support residents in all aspects of the move-in process
• Maintain accurate resident records, paper, and electronic filing systems, and support daily office operations
• Assist with community marketing plans and competitive analysis
• Support admissions and business office staff to complete financial consent forms and payer verification
• Assist with community Accounts Payable and Accounts Receivable
• Answer phones, greet visitors, and assist with general inquiries related to the community, community admissions, or Medicaid
• Maintain accurate resident records, paper and electronic filing systems, and support daily office operations
• Provide community tours to prospective residents and other guests
• Maintain the CRM system to track prospective residents’ move-in processes
• Other duties as assigned.

Qualifications

Basic Qualifications & Experience

• Associate’s degree in business, healthcare administration, social work, or related field preferred.
• Minimum 2 years of experience managing Medicaid applications and eligibility (long-term care or healthcare experience preferred).
• Strong knowledge of Medicaid application and redetermination processes; familiarity with state Medicaid systems or portals.
• Excellent organizational and time management skills with strong attention to detail.
• Clear, professional communication skills when working with residents, families, and external agencies.
• Ability to maintain confidentiality and manage sensitive resident information appropriately.
• Proficient in Microsoft Office (Word, Excel, Outlook); experience with facility management software or Medicaid portals a plus.
• Team-oriented, flexible, and able to assist in cross-functional office duties when needed.

Working Conditions / Physical Requirements

• Position requires medium-heavy physical work. Heavy lifting, pushing, or pulling objects up to 45 pounds.
• Is subject to frequent interruptions.
• Interacts with residents, family members, coworkers, and coworkers in other departments, 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 accepting applications through December 31, 2025.

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