Divisional Eligibility Support Specialist - East
Creative Solutions in Healthcare•Fort Worth, TX
•Onsite
About The Position
The Divisional Eligibility Support Specialist provides expert guidance and hands-on support to facility and regional staff related to Long-Term Care Medicaid Eligibility (MEPD). This role ensures accurate application completion, timely case resolution, and ongoing compliance with state and federal Medicaid regulations. The position requires a strong field presence, collaboration across departments, and a passion for supporting the elderly and handicapped population.
Requirements
- Minimum of five (5) years of professional experience
- Working knowledge of Long-Term Care Medicaid Eligibility (MEPD)
- Ability to operate a 10-key calculator by touch
- Strong typing skills and general computer proficiency
- Proficient in Microsoft Office Suite, including Excel, Word, and Outlook
- Ability to communicate effectively with residents, the public, and coworkers
- Demonstrated ability to organize, prioritize, and meet deadlines
- Ability to perform all essential job duties and meet physical job requirements
- Genuine caring and interest in serving elderly and handicapped individuals
- Ability to comply with the Patients’ Bill of Rights and Employee Responsibilities
- Ability to comply with all company and departmental safety policies and procedures
- Ability to read and write in English
Responsibilities
- Provide guidance and support to facility staff regarding MEPD policies and procedures
- Identify facilities requiring assistance and coordinate efforts to resolve eligibility concerns effectively
- Review and assist with the completion of Medicaid applications, ensuring accuracy and completeness of all documentation
- Maintain consistent communication with facility staff, regional staff, caseworkers, and other stakeholders to support timely case resolution
- Participate in Private Aging calls to identify and address Medicaid and Medicaid Pending-related issues
- Maintain in-field presence a minimum of three (3) weeks per month to provide on-site support and training
- Maintain strict confidentiality and adhere to all state and federal Medicaid regulations
- Complete and submit written reviews of facility visits
- Perform additional duties as assigned
Benefits
- Health, Dental, and Vision Insurance
- AD&D, Short-Term Disability, Cancer, Critical Illness, and more
- Whole and Term Life Insurance Policies
- Tuition Reimbursement for continued education
- Paid Time Off
- Immediate 401(k) eligibility
- Exceptional corporate resources and leadership
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
251-500 employees
