Medicaid Eligibility Specialist

Davis Behavioral Health•Layton, UT

14d•$18•Onsite

About The Position

Davis Behavioral Health (DBH) is actively recruiting a full-time Medicaid Eligibility Specialist to join its finance team. The Medicaid Eligibility Specialist is responsible for receiving and working the daily eligibility files received from Utah Medicaid and verifying that DBH's Electronic Health Record (EHR) has current and correct information. If that information is incorrect, they are responsible for updating it in the EHR, contacting the client and letting them know if there is an issue, finding out if assistance is needed and working with the case management staff to assist the client in getting Medicaid back. They also work with the billing department to make sure the account is correct. Eligibility is checked for all Fee for Service Medicaid clients and Expansion Medicaid Clients monthly.

Requirements

The successful candidate must be at least 18 years old.
Previous experience working in a professional office setting is required
High school diploma or equivalent is required
Complete all required training that is assigned to the Medicaid Eligibility Specialist position by defined deadlines.
Computer literacy, including keyboarding (typing) skills.
Possess proficient working knowledge of Microsoft Office Suite and other computer programs.
Strong communication skills, both verbal and written, are required.
Ability to work both individually and as part of a team and with staff in multiple departments across DBH is requried.
The selected candidate must successfully pass a pre-employment criminal background check and drug screening.

Nice To Haves

A working knowledge and previous experience with Medicaid enrollment is also strongly preferred
Fluency in both English and Spanish is helpful, but not required.

Responsibilities

Running and working 834 eligibility files.
Updating payer information in DBH's electronic health record (Credible), as needed.
Contacting clients and explaining changes in eligibility.
Contacting clients and explaining changes in Medicaid eligibility and working with case management staff to help clients re-enroll with Medicaid.
Working Medicaid pre-billing error reports.
Entering inpatient services for billing Medicaid.
Other duties and responsibilities and needed and assigned.
Other duties and responsibilities as needed and assigned.

Benefits

Medical Insurance - The current carrier and network is SelectHealth Share. High Deductible Health Plan with a sizeable employer Health Savings Account contribution. H.S.A. administered by HealthEquity.
Dental Insurance - The current carrier and network is Delta Dental.
Integrated Primary Care Clinic - Nice Healthcare. Every day care whenever you need it.
Vision Insurance - Offered by VSP
Flexible Spending Account (FSA) - Administered by APA Benefits. Annual healthcare spending limit: $3,300 Annual dependent care spending limit: $5,000
Retirement Utah Retirement System participating agency 401(k) - DBH matches up to 2% of annual earnings Voluntary employee-funded options available (457 Plan Roth IRA)
Life and Accidental Death and Dismemberment Insurance - Administered by USAble. Basic Life and AD&D Benefit Amounts Employee: 2x your base annual earnings, rounded to the nearest $1,000, to a maximum of $300,000 Spouse : $10,000 Child(ren) : $5,000 on each eligible dependent child Voluntary Life and AD&D Insurance
Long-term Disability - Administered by USAble.
Health Reimbursement Account (H.R.A.) - Offered to employees to voluntarily opt out of DBH medical insurance. Administered by APA Benefits. Up to $2,600 per year contributed by DBH after required employee contribution.
Voluntary Insurance - Administered by Assurity. Voluntary Accident Voluntary Critical Illness Voluntary Hospital Indemnity
Voluntary Identify Theft Protection - Administered by Allstate Benefits.
Employee Assistance Program (EAP) - Administered by Intermountain Healthcare.