Eligibility & Enrollment Specialist: Central Administration - #00382
About The Position
Monitors offender Medicaid coverage status to track and facilitate offender Medicaid enrollment, resolve incorrect enrollment and provide information to offenders and institutional staff in order to ensure the Virginia Department of Corrections (VADOC) provides cost effective and adequate offender health care. Reviewing data required for proper management of offender Medicaid coverage, identifying inmates who need Medicaid coverage and facilitating enrollment of inmates in Medicaid via support to the institutions and direct application submission, submitting required coverage updates to the Department of Medical Assistance Services' (DMAS) Central Processing Unit (CPU), and data collection for reporting purposes. Candidate must be able to manage the flow of communication, records and files to support Medicaid application and corrections submissions. Ability to complete assigned tasks and manage multiple tasks with minimal supervision. Review CORIS, hospital reports, and reports sent in from DMAS/Conduent to identify offender Medicaid coverage. Serve as the primary contact for offender enrollment questions with the DMAS CPU.
Requirements
- Experience in data management and documentation of data processes.
- Experience preparing reports.
- Experience in communicating issues with Medicaid to various audiences.
- Experience maintaining and coordinating confidential information.
- Ability to complete assigned tasks and manage multiple tasks with minimal supervision.
- Expertly skilled in the use of Microsoft office suite, particularly Excel and Access.
- Strong organizational skills.
Nice To Haves
- Previous experience using CORIS
- Medicaid experience
Responsibilities
- Monitors offender Medicaid coverage status to track and facilitate offender Medicaid enrollment.
- Resolves incorrect enrollment and provide information to offenders and institutional staff.
- Reviews data required for proper management of offender Medicaid coverage.
- Identifies inmates who need Medicaid coverage and facilitates enrollment of inmates in Medicaid.
- Submits required coverage updates to the Department of Medical Assistance Services' (DMAS) Central Processing Unit (CPU).
- Performs data collection for reporting purposes.
- Manages the flow of communication, records and files to support Medicaid application and corrections submissions.
- Completes assigned tasks and manages multiple tasks with minimal supervision.
- Reviews CORIS, hospital reports, and reports sent in from DMAS/Conduent to identify offender Medicaid coverage.
- Serves as the primary contact for offender enrollment questions with the DMAS CPU.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
