Bilingual Medicaid Eligibility Specialist (M-F; 11:30am-8pm with rotating weekends)

Elevate Patient Financial Solution•Baltimore, MD

63d•Onsite

About The Position

London Eligibility, an Elevate Patient Financial Solutions company, has an exciting career opportunity available as a Bilingual Medicaid Eligibility Specialist. This position will be based in a hospital in Baltimore, MD. The Full Time schedule for this role will be 11:30am-8:00pm, Monday-Friday and must be open to one weekend day twice per month. Job Summary Elevate PFS provides revenue cycle solutions to hospitals and physicians throughout the United States. The purpose of this position is to communicate with former hospital patients and screen for Medicaid/State Public Benefit eligibility according to state based guidelines.

Requirements

High School Diploma or equivalent
Minimum of one (1) year of experience in hospital site financial counseling, hospital/medical office, medical insurance and/or customer service
Demonstrated understanding of state and federal programs available
Demonstrated knowledge of Medicaid, Medicare, SSDI, and SSI
Bilingual: Ability to speak and write English and Spanish fluently.
Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through multiple web-based applications.
Remote and Hybrid positions require internet connections that meet the Company's upload and download speed criteria.

Nice To Haves

Previous Certified Application Counselor training (CAC) - State and/or Federal
At least two (2) years of experience in hospital site financial counseling, hospital/medical office, medical insurance and/or customer service

Responsibilities

Contact former hospital patients and screen for potential Medicaid/State Public Benefit according to state based guidelines.
Complete and submit appropriate applications to Department of Health or Maryland Health Connection as applicable. Follow up through determination.
Educate patients about the Affordable Care Act, including potential eligibility during both open enrollment and in the situation of a life qualifying event.
Explain qualified health plans, essential health benefits, differences in plan affordability, premium tax credits, and cost sharing. Assist individuals navigating through the web-based State or Federal Marketplace.
Call patients to review and process financial assistance applications. Ensure completeness, verify supporting documentation.
Regular and timely attendance.
Other duties as assigned.