Eligibility Specialist

Easterseals MORC • Clinton Township, MI

7h

About The Position

Easterseals MORC is hiring for an Eligibility Specialist to help make a difference and become part of something bigger than yourself! We are looking for Game Changers! The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.

Requirements

• High School Diploma or Equivilent
• At least 2 years experience with Medicare Enrollment preferred

Responsibilities

• Interviews consumers, families, guardians, service providers, employers and various governmental agencies to obtain information to determine financial liability
• Completes financial determinations, verifies and researches insurance information and enters all insurance benefits on-line to the department’s billing system to allocate charges to first party payers, produce first party bills and maintain accounts receivable
• Conducts special studies and surveys in such areas as feasibility of offering new services, improvement of efficiency and economy
• Gathers financial information for the determination of ability to pay for cost of care
• Contacts financial institutions, insurance companies and various governmental agencies and programs to determine and enroll consumers in benefit programs to reimburse for mental health services provided
• Testifies at appeal hearings regarding financial liability
• Collects and reviews consumer information to obtain and maintain Medicaid coverage
• Provides liaison activities with governmental agencies, consumers, providers, parents/guardians and others regarding reimbursement matters

Benefits

• Low-cost Dental/Health/Vision insurance
• Dependent care reimbursement
• up to 5 days paid FMLA for maternity, paternity, foster care and adoption
• Generous 401K retirement plan
• Paid Leave Options Available
• Up to $125 bonus for taking 5 days off in a row
• 10 paid holidays and 3 floating holidays (Over 30 days total of paid time off)
• Wellness Programs
• We are a PSLF (Public Service Loan Forgiveness) Employer.
• We provide bonuses and extra incentives to reward hard work & dedication.
• Mileage reimbursement in accordance with IRS rate.
• Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi.
• Student loan repayment options
• Pet Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED