Medicaid Eligibility Specialist

🕒 il y a 12 jours

🔔 Pennsylvania – Distant

infoinfo

💵 $21 - $25 / heure

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🚫👨‍🎓 Aucun diplôme requis

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of FreedomCare

FreedomCare

501 - 1000 employés

🏥 Santé

⚕️ Assurance santé

🌍 Impact social

Healthcare • Healthcare Insurance • Social Impact

FreedomCare est un prestataire de soins à domicile en pleine expansion aux États-Unis, soutenu par des financements Medicaid. L'entreprise propose un service de soins à domicile unique qui permet aux patients de choisir leurs aidants, qui peuvent être un membre de la famille ou un ami, et garantit que les aidants sont payés rapidement après leurs services grâce à une application pratique. Opérant dans plusieurs États, notamment New York, Nevada, Missouri, Pennsylvanie, et d'autres, FreedomCare se concentre sur la fourniture de soins de confiance dans le confort du domicile du patient, améliorant la satisfaction des patients et réduisant les visites à l'hôpital. Leur programme se distingue par une haute satisfaction client et de nombreux avis positifs, reflétant l'impact et l'efficacité de leurs services pour améliorer le bien-être des aidants et des patients.

Description

• 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 a 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 upcoming 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 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 • Collaborate with partnering departments, case managers, and healthcare professionals to support patient access to Medicaid benefits • Assist with training staff members 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

🎯 Exigences

• 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

🏖️ Avantages

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

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