What are the responsibilities and job description for the Medicaid Eligibility Specialist position at Red Rock Behavioral Health Services?
Job Description
Job Description
SUMMARY
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 healthcare 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.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
- Client intake and assessment : Conduct interviews with potential Medicaid applicants to gather personal information, medical history, income details, and assess eligibility based on state guidelines
- Application guidance : Explain the Medicaid application process, including required documentation, deadlines, and potential challenges
- Document review and verification : Collect and review supporting documents like paystubs, bank statements, and medical records to confirm eligibility criteria
- Form completion : Assist clients in accurately completing Medicaid application forms, ensuring all fields are filled out correctly
- Eligibility determination : Analyze client information to determine their potential eligibility for Medicaid benefits based on state regulations
- Advocacy and appeals support : Represent clients in situations where their application is denied, assisting with the appeals process by gathering additional documentation and presenting a compelling case
- Agency outreach : Promote awareness about Medicaid eligibility throughout agency and work with clinical staff within the agency to promote awareness and respond to inquiries
- Completes special assignments and performs other duties as assigned
QUALIFICATIONS
HOW WE TAKE CARE OF YOU!
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities
Red Rock Behavioral Health Services does not discriminate based on race, color, national origin, religion, gender, gender identity, age, marital / familial status, sexual orientation, or disability
