Medicaid Enrollment Specialist

Description

Medicaid Enrollment Specialist

Medicaid Enrollment Specialist will assist consumers in applying for health insurance and perform duties related to processing applications for Medicaid in Maryland Health Connection (MHC). Medicaid Enrollment Specialist verify information, determine eligibility, and explain the Medicaid program along with Health Choice information.

The primary responsibilities for this position are:

• Assist consumers in applying for Medicaid insurance and refer consumer to HCAM Connector team or other local agencies as needed
• Provides consumers with system navigation assistance and Health Choice Information
• Accepts and processes all VCL items related to applications in MHC
• Resolves issues from various state reports and MHC worker queue
• Distributes and reviews customer satisfaction surveys
• Uploads documents into MHC
• Data entry within various systems
• Investigates and resolves consumer issues
• Tracks monthly productivity  
• Completes referrals and CTAD requests from internal and external partners
• Processes 1184 newborn forms within MHC
• Processes emergency Medicaid cases within MHC
• Checks voice mail, answers phones, and return calls within 24 hours
• Utilization of special subject matter expertise
• Perform other duties as needed  

Qualifications

Requirements & Experience:

• High School Diploma
• Data entry experience
• Customer service skills
• Excellent organizational skills
• Good oral and communication skills
• Ability to meet deadlines and work in multiple databases

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk, hear, and respond to customers and employees. The employee frequently is required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee is occasionally required to walk and sit. The employee must regularly lift and/or move up to 15 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

• Ambulate 3 blocks or more
• Key data
• Sit for extended periods
• Lift at least 15 lbs.

SAFETY & HEALTH RESPONSIBILITIES:

HCAM is committed to providing and maintaining a safe, secure, and healthy work environment for all employees, clients served, volunteers and visitors. As part of this commitment, HCAM has developed safety, security and occupational health policies, practices, and standards.

With this understanding, all employees are required to: Adhere to all local, state and federal safety and environmental codes, ordinances, standards and laws; adhere to all HCAM and local safety plans, policies, practices and standards; be aware of and follow all safety rules of your work site; report any unsafe conditions or accidents to your supervisor; practice standard precautions (formerly universal precautions) at all times, and; participate in mandatory or available safety training.

WORK ENVIRONMENT

While performing the duties of this job, the employee is exposed to both indoor and outdoor conditions. The employee will be subject to noise.

OUR CULTURE   

HCAM is dedicated to fostering diversity, equity, and inclusion in our commitment to support our employees and the Marylanders we serve.