Medicaid Eligibility Specialist (PA / Hybrid)
FreedomCare
| Company | FreedomCare |
| Category | Uncategorised |
| Location | Philadelphia |
| Remote | Hybrid |
| Employment | Not stated |
| Level | Entry |
| Salary | Not stated by the employer |
| Posted | 7 Aug 2026 |
| Last verified | 8 Aug 2026 |
| Source | Employer ATS (greenhouse) |
Description
FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.
We pride ourselves on our values which drive the level of care that we deliver to our patients:
Here For You (An attitude of service, empathy, and availability)
Own It (Drive and ownership)
Do the Right Thing (High integrity)
Be Positive (Great attitude and a can-do positive approach to challenges)
Join our team and make a positive impact on the lives of others! We are looking for a Medicaid Eligibility Specialist for our Pennsylvania Operations Team.
This is a hybrid role that requires a regularly scheduled commute/travel to our main office in Pittsburgh, Philadelphia, and/or the FreedomCare hub closest to you.
Department & Position Overview:
The Medicaid Eligibility Specialist focuses on enhancing the patient’s experience by facilitating the approval process, to allow them to receive our service. The Medicaid Specialist responsible for expediting the time it takes for them to enroll into our programs.
The Specialist focuses on maintaining eligibility with current consumers’ service by maintaining active Medicaid status through Medicaid recertification and monthly spend down obligations.
The Specialist will be responsible for ensuring compliance with all relevant regulations. The Specialist requires a high level of attention to detail, excellent communication skills, and requires in-depth knowledge and understanding of Medicaid policies, regulations, and procedures.
Every Day You Will:
Medicaid Eligibility
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
Subject matter expert relative to Pennsylvania Medicaid spenddown requirements through the clients’ pre-care & on care status
Medicaid Renewal Processing:
Monitor and manage the Medicaid renewal process for existing clients
Notify clients of upcoming renewal deadlines and assist with the submission of required documentation
Ensure that renewals are processed in a timely manner to avoid lapses in coverage
Documentation and Record Keeping:
Maintain accurate and detailed records of verification processes and outcomes
Update patient records in salesforce to reflect current Medicaid status
Design Medicaid eligibility and spenddown process along with trackability reports in Salesforce
Communication:
Serve as a 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
Collaboration and Support:
Work closely with partnering departments to resolve any issues related to Medicaid coverage and recertification
Assist with training staff members on Medicaid verification procedures and policies
Collaborate with partnering departments, case managers, and other healthcare professionals to support patients’ access to Medicaid benefits
Identify and resolve issues that may affect clients' Medicaid eligibility or coverage
Work with government agencies and other stakeholders to address and resolve complex Medicaid-related cases
Ideal Candidate Will Possess: