Medicaid Eligibility Coach
About The Position
As part of the KanCare Clearinghouse Program, the Eligibility Professional Team Coach will support supervisory staff, serves as an escalation point for Eligibility Professionals’ inquiries and aides in the resolution of complex cases. This position will perform a variety of duties. The position is responsible for gathering thorough documentation and entering information into various systems. Serves as a program/process expert in Medicaid programs or special processing. Eligibility Professional Team Coaches are expected to use knowledge of State eligibility processes, policies, and procedures governing managed care enrollment to communicate with consumers regarding a variety of issues. Attend training as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs. Coordinates with KDHE leadership on complex cases, as needed. Assists with special projects and other departmental needs, as requested. Maintain up-to-date knowledge of regulations, policies, and guidelines.
Requirements
- High school diploma or GED equivalent
- One additional year of experience interviewing, investigating, compiling information, documenting decisions, interpreting guidelines and/or providing technical assistance relevant to the agency’s programs.
- Minimum of one (1) years’ experience in completing Medicaid programs for KanCare
Nice To Haves
- post-secondary education preferred
Responsibilities
- Functions as a subject matter expert for designated departmental functions
- Responsible for subject area information and guidance that could include training, fact sheets, or other tools
- Assists in the development and improvement of new and existing Eligibility Professionals
- Demonstrates a high quality customer service and focuses on the accuracy of information provided
- Provide mentoring/training through job shadowing and assistance for Trainee and Professional team members
- Gathering thorough documentation and entering information into various systems
- Serves as a program/process expert in Medicaid programs or special processing
- Communicate with consumers regarding a variety of issues
- Attend training as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs
- Coordinates with KDHE leadership on complex cases, as needed
- Assists with special projects and other departmental needs, as requested
- Maintain up-to-date knowledge of regulations, policies, and guidelines
Benefits
- health insurance coverage
- voluntary dental and vision programs
- life and disability insurance
- a retirement savings plan
- paid holidays
- paid time off (PTO) or vacation and/or sick time
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
