Eligibility Specialist - The Lodges
About The Position
This Eligibility Specialist is responsible for determining individuals served income eligibility and maintaining accurate eligibility for State and Federal funding. This position must maintain working knowledge of eligibility, federal poverty guidelines, and Medicaid/Medicare regulations. This position will assist with benefit eligibility, application, and follow through until benefit approval with individuals served. Assignments/tasks are expected to be executed with considerable independence and maintain compliance with established facility policies and procedures, contract requirements, organization bylaws, and federal and state regulations/laws.
Requirements
- Associate’s degree from college or university in a related field and two (2) years of experience in a Business Office, Eligibility, Administration, or Healthcare role. May substitute equivalent combination of education and experience.
- Must have the ability to work independently with good decision-making skills.
- Must have strong organizational skills and the ability to prioritize responsibilities.
- Must be able to maintain effective working relationships with internal and external customers.
- Must be extremely detail oriented with a high level of accuracy while demonstrating the ability to resistdistractions.
- Position requires a friendly, confident and knowledgeable phone presence.
- Excellent verbal and written communication skills including letters, memos, and emails.
- The position requires proficient computer skills and must be able to use Microsoft Office, Teams, and Outlook to complete tasks.
- Must be able to pass organization screening requirements, including state or federal background screenings as appropriate.
- Must possess a valid driver’s license from the state in which you reside, a good driving record and be insurable under the corporate policy.
Nice To Haves
- Experience in Behavioral Healthcare Service preferred.
- Understanding of insurance authorizations preferred.
Benefits
- Medical
- Dental
- Vision
- Basic Life and AD&D
- Voluntary Term Life
- Employer Paid Long Term Disability
- Flexible Spending Accounts and Health Savings Account
- Retirement Savings Plan (RSP)
- Employee Assistance Program
- Accident Insurance
- Group Critical Illness Insurance
- Individual Short-Term Disability Insurance
- Paid Time Off
- Identity Theft Protection
- Employee Discount Program
- Teladoc
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
