Medicaid Eligibility Specialist

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $21 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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FreedomCare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🌍 Social Impact

Healthcare • Healthcare Insurance • Social Impact

FreedomCare is a rapidly growing in-home care provider in the United States, driven by Medicaid funding. The company offers a unique home care service that allows patients to choose their caregivers, who can be a family member or friend, and ensures that caregivers are paid promptly after their shifts through a handy app. Operating across multiple states including New York, Nevada, Missouri, Pennsylvania, and others, FreedomCare focuses on providing trusted care in the comfort of the patient's home, improving satisfaction and reducing hospital visits. Their program stands out for its high customer satisfaction and number of positive reviews, reflecting the impact and effectiveness of their services in enhancing the well-being of both caregivers and 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 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

• 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

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