Eligibility Coordinator (Mental Health CSA)

PRESTIGE HEALTHCARE RESOURCES INC•Washington, DC
•$0 - $60,000

About The Position

Prestige Healthcare Resources is seeking an Eligibility Coordinator to support the Intake & Admissions Department. The role ensures accurate intake, Medicaid eligibility verification, and compliance with DC DBH standards. The coordinator also enters intake data directly with consumers and ensures information is accurate and complete at the time of intake.

Requirements

  • High school diploma or GED.
  • At least 2 years of experience in a Mental Health Core Service Agency (CSA) in Washington, DC.
  • Strong attention to detail.
  • Basic computer skills.

Nice To Haves

  • Experience with Medicaid, DBH processes, or intake.

Responsibilities

  • Conduct intake data entry with consumers.
  • Enter and maintain accurate demographic and insurance information.
  • Verify Medicaid eligibility using Gainwell.
  • Process referrals and manage intake tracking systems.
  • Review and submit Consumer Choice Forms (CCFs).
  • Communicate and escalate eligibility or intake issues as needed.
  • Maintain at least 95% accuracy in documentation.
  • Ensure Medicaid eligibility is verified before services.
  • Complete intake data entry on the same day.
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