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Medicaid specialist skills for your resume and career

Updated January 8, 2025

4 min read

Quoted expert

Dr. Elizabeth Keavney Ph.D.

Below we've compiled a list of the most critical medicaid specialist skills. We ranked the top skills for medicaid specialists based on the percentage of resumes they appeared on. For example, 22.8% of medicaid specialist resumes contained patients as a skill. Continue reading to find out what skills a medicaid specialist needs to be successful in the workplace.

15 medicaid specialist skills for your resume and career

1. Patients

Here's how medicaid specialists use patients:

Reviewed referrals and screened all uninsured patients seen at contracted HCA hospitals for potential Medicaid and/or disability eligibility.
Assisted several elderly and physically or mentally disabled patients in obtaining their Social Security Disability benefits and monies.

2. Home Health

Here's how medicaid specialists use home health:

Experience on working with a home health care agency for two years, bilingual fluent in English and Spanish.
included: Processed claims to bill to Medicaid for Home Health.

3. Medicaid Eligibility

Here's how medicaid specialists use medicaid eligibility:

Assumed responsibility for a Medicaid eligibility determination caseload.
Gathered information for Medicaid eligibility determination.

4. Rehabilitation

Here's how medicaid specialists use rehabilitation:

Determined eligibility for Health Insurance for Health Department, Clinics, Health Center, and Disability Rehabilitation Services.
Participate in monthly training sessions, including sessions on dementia care, SNF policies, and elderly rehabilitation.

6. Term Care

Here's how medicaid specialists use term care:

Coordinate comprehensive assessment and long term care services for functional eligibility through on-line system authorization and current policy interpretations.
Assist resident/representative to complete long term care application and submit it and all documentation to the Bureau of Long Term Care.

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7. Provide Technical Assistance

Here's how medicaid specialists use provide technical assistance:

Provide technical assistance and orientation to child development teachers and providers.
Answer questions and provide technical assistance to the CIMC WD Office staff regarding the CSBG Program Policies.

8. Medicaid Applications

Here's how medicaid specialists use medicaid applications:

Assure timely processing and submission of Medicaid Applications including new Applications and Re-determinations for two Mental Health facilities.
Interviewed clients to obtain necessary information to process Medicaid applications and re-determinations.

9. Financial Assistance

Financial assistance refers to governmental assistance one may receive for a variety of reasons. This help is typically in the form of money, whether a loan, scholarship, grant, or reduced taxes provided to an individual or organization. One of the more common forms of financial assistance is student loans, which offer many prospective students a chance for higher education.

Here's how medicaid specialists use financial assistance:

Verify insurance benefits, arranges payment options, including Health Finance or Financial Assistance, if applicable.
Complete all Medicaid and Financial Assistance applications via bedside interview or home visits.

10. Health Insurance

Here's how medicaid specialists use health insurance:

Assist in completing application for client for free state health insurance.
Obtain prior authorizations and referrals as required per health insurance guidelines.

11. Computer System

Here's how medicaid specialists use computer system:

Use an array of different complex computer systems and applications to aid in eligibility determinations.
Prepared clinicians weekly payroll by entering encounter forms and other information into computer system.

12. Federal Laws

The laws formed and upheld by the federal administrating body of a country are known as federal laws. A federal administrating body or government is formed by a political party after being elected by the general public.

Here's how medicaid specialists use federal laws:

Performed work in an office environment within the limits of established state and federal laws, and agency policy and procedures.
Interpret policy and ensure compliance with state and federal laws, regulations, legal mandates, action plans, and policies.

13. Community Resources

Community resources are a set of resources that are used in the day to day life of people which improves their lifestyle in some way. People, sites or houses, and population assistance can come under the services offered by community resources.

Here's how medicaid specialists use community resources:

Assisted with medication and financial management, transportation, provided vocational and social assistance, crisis management and accessing community resources.
Develop and maintain effective working relationships between Child Protective Services staff and law enforcement officials and other community resources.

14. Federal Guidelines

Here's how medicaid specialists use federal guidelines:

Determine an applicant's eligibility based on State and Federal guidelines and verify the accuracy of information listed on applications.
Determine applicants eligibility based on State and Federal Guidelines.

15. Medicaid

Here's how medicaid specialists use medicaid:

Collaborated with Finance Department and Special Ed department to obtain information on Medicaid related activities as needed for Cost Based Reimbursement.
Obtained personal information including Social Security numbers, financial information, and other requirements to determine eligibility for Medicaid.

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Dr. Elizabeth Keavney Ph.D.

Associate Professor, American Public University System

The ability to examine all sides of an issue, to include long-term consequences and short-term consequences and unintended consequences and intended outcomes is vital. A focus on goals and objectives, instead of depending on an emotional response, will help lead to the best solutions. Public servants should be adaptable and able to work with people from various cultures. They need to have an understanding of how to work with and motivate individuals and groups. Those who can stay engaged and exercise good judgment will fare best in fluid and changing times.

Do you want to know more?

List of medicaid specialist skills to add to your resume

The most important skills for a medicaid specialist resume and required skills for a medicaid specialist to have include:

Patients
Home Health
Medicaid Eligibility
Rehabilitation
Social Work
Term Care
Provide Technical Assistance
Medicaid Applications
Financial Assistance
Health Insurance
Computer System
Federal Laws
Community Resources
Federal Guidelines
Medicaid
Medicare

Government Agencies
City Agencies
Medical Facilities
CPT
Bank Accounts
Hippa
Social Security Administration
Medicaid Waiver
HIPAA
Patient Accounts
Patient Eligibility
Medical Billing
Front Desk
ICD-9
State Agencies
CMS

EMR
Insurance Benefits
Billing Issues
Insurance Coverage
Process Applications
Medical Claims
EOB
Insurance Verification
Financial Eligibility
HMO
MCO
Federal Agencies
Telephone Calls
DME
Client Eligibility
Financial Data

Updated January 8, 2025

Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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