What are the responsibilities and job description for the Medicaid Eligibility Specialist, Case Manager position at Oak Hills Nursing and Rehabilitation?
Overview
The Medicaid Eligibility Specialist helps individuals and families understand and complete Medicaid applications by gathering necessary documentation, reviewing eligibility requirements, and guiding them through the application process to access long term care coverage through the Medicaid program; responsibilities may include interviewing clients, verifying income and assets, and advocating for their needs to ensure accurate and timely application submissions.
Duties
- Review and process applications for eligibility in long term care
- Verify client information through various databases and documentation.
- Communicate effectively with clients to gather necessary information and clarify any discrepancies.
- Collaborate with healthcare providers to ensure accurate submission of claims.
- Maintain detailed records of eligibility determinations and client interactions.
- Stay updated on changes in policies, procedures, and regulations affecting eligibility criteria.
- Provide administrative support within the medical office environment as needed.
Experience
- Bachelor's degree in the field of social work preferred
- Strong understanding of Medicaid guidelines and eligibility criteria
- Knowledge of applicable state and federal laws, regulations, and requirements
- Ability to analyze and interpret data
- Ability to work independently and as part of a team
- Excellent communication and interpersonal skills: to effectively interact with clients from diverse backgrounds
- Attention to detail: to ensure accurate application completion and documentation
- Problem-solving abilities: to address complex situations and navigate potential barriers
- Basic computer literacy: to access and manage online application systems
- Proficient in Word and Excel, Point Click Care is a plus!
- Must complete all in-service and external training requirements
- Experience working with Medicaid eligibility processes required
Join us as an Eligibility Specialist where your expertise will contribute significantly to our mission of providing quality care in the long term care space!
Job Type: Full-time
Pay: $45,000.00 - $50,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 10 hour shift
- 8 hour shift
Work Location: In person
Salary : $45,000 - $50,000