What are the responsibilities and job description for the Program Administration Eligibility Specialist position at Sevita?
D&S Community Services , a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived.
Program Administration Eligibility Specialist
Location : Austin, TX (in office)
Hourly Rate : $20 / hr
Schedule : Monday through Friday 8am-4 : 30pm
Your Role
- Monitors upcoming financial eligibility renewal dates weekly via state portal, available reporting (internal or external), and / or paper mail and communicates to program staff on individuals with eligibility about to expire
- Enters individual financial eligibility data into system(s) weekly to assist in accurate reporting and timely billing of services provided by local staff
- Maintains files with eligibility information by client
- Where Sevita is representative payee, assembles, completes, and submits applications, appeals, or other forms related to financial eligibility, partnering with field and other functional teams as needed for necessary documentation
- Researches complex eligibility issues via payer website or by phone. Communicates directly with state / payer / other external partners where needed to resolve outstanding issues or follow-up on eligibility status
- Communicates with program staff alerting local field or functional teams of potential blockers, escalations, etc. preventing financial eligibility from processing timely
- Reviews AR Aging and works with AR team members, functional partners, or local office staff on resolution of eligibility-related billing. Prepares supporting documentation for eligibility related sales adjustments (gap in coverage)
- Where Sevita is not representative payee, supports field with escalation questions as subject matter expert on state expectations and timing
- Performs other related duties and activities as required
Qualifications
Why Join Us
Salary : $20
