Medicaid Eligibility Specialist (Hybrid in Bedford & Greenfield, IN)

Summary

Medicaid Eligibility Specialist (Hybrid in Bedford & Greenfield, IN)

POSITION SUMMARY:

Responsible for facilitating the Medicaid redetermination/reinstatement process.

QUALIFICATIONS:

• Minimum of two (2) years' experience in Medicaid environment
• Knowledge of Medicaid redetermination/reinstatement process
• Exceptional communication skills/telephone skills
• Demonstrates good negotiation and public relations skills
• Must demonstrate excellent interpersonal skills; both written and verbal, time management, and Microsoft Office skills.
• Be self-motivated and should need minimal supervision.
• Be detail oriented and organized.
• Ability to multi-task competing priorities.

ESSENTIAL FUNCTIONS/AREAS OF ACCOUNTABILITY

• Communicates effectively and professionally with the patient/family and Medicaid to ensure successful advocacy of Medicaid redetermination/reinstatement process.
• Effectively requests and obtains all required documents from the patient/family required for Medicaid redetermination/reinstatement.
• Understands regulations and requirements for active Medicaid.
• Assists with transitions between Medicaid categories as necessary.
• Accurately and completely document all attempts at follow up and date Medicaid was reinstated.
• Ensures appropriate staff members are updated on status of Medicaid.
• Advocate for the patient/family via telephone and fax.
• Gathers, collates, and reports referral statistics including key referral trends.

PAY

• $25 - $33 per hour - based on experience

Job Description

Medicaid Eligibility Specialist (Hybrid in Bedford & Greenfield, IN)

POSITION SUMMARY:

Responsible for facilitating the Medicaid redetermination/reinstatement process.

QUALIFICATIONS:

• Minimum of two (2) years' experience in Medicaid environment
• Knowledge of Medicaid redetermination/reinstatement process
• Exceptional communication skills/telephone skills
• Demonstrates good negotiation and public relations skills
• Must demonstrate excellent interpersonal skills; both written and verbal, time management, and Microsoft Office skills.
• Be self-motivated and should need minimal supervision.
• Be detail oriented and organized.
• Ability to multi-task competing priorities.

ESSENTIAL FUNCTIONS/AREAS OF ACCOUNTABILITY

• Communicates effectively and professionally with the patient/family and Medicaid to ensure successful advocacy of Medicaid redetermination/reinstatement process.
• Effectively requests and obtains all required documents from the patient/family required for Medicaid redetermination/reinstatement.
• Understands regulations and requirements for active Medicaid.
• Assists with transitions between Medicaid categories as necessary.
• Accurately and completely document all attempts at follow up and date Medicaid was reinstated.
• Ensures appropriate staff members are updated on status of Medicaid.
• Advocate for the patient/family via telephone and fax.
• Gathers, collates, and reports referral statistics including key referral trends.

PAY

• $25 - $33 per hour - based on experience