Medicaid Eligibility Specialist | Senior Services
About The Position
PASRR is dedicated to connecting individuals with the services and resources they need to thrive, and the Medicaid Eligibility Specialist is a key part of that mission. In this role, you'll help clients navigate benefit programs, coordinate with community partners, and provide guidance throughout the eligibility process. Your work will directly support access to care while creating a positive and supportive experience for those you serve. The Medicaid Eligibility Specialist assists Valley clients and community members with the application process for all Medicaid programs, including General Assistance and Food Stamps. The Specialist monitors all steps of the process and ensures the delivery of excellent customer service and support.
Requirements
- High School diploma or equivalent
Nice To Haves
- Prior experience with Medicaid programs
- Prior case management experience
- Spanish language skills
Responsibilities
- Gathers and submits all required Medicaid-related documents for benefit determination, and follows up throughout the application process to ensure approval
- Partners with the Department of Workforce Services (DWS) to ensure Valley clients receive application assistance from their dedicated DWS Case Worker
- Assists Valley clients and other community members with the completion of their annual benefit reviews with DWS
- Works with the Quality Assurance team and the Medicaid Eligibility Manager to ensure compliance with all related and applicable regulatory requirements regarding Medicaid funding
- Collaborates with Valley councils and committees to track and report all clinical outcomes
- Develops and maintains collaborative working relationships with DWS, external payers and funding sources, community partners, and other Valley stakeholders
Benefits
- Tenure-based service increases
- Performance bonuses
- On-Demand Pay
- 15 days of accrued paid time off annually (increasing by one day with each year of service)
- 10 paid holidays
- 2 wellness days
- Paid parental leave
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- Voluntary accident insurance
- Voluntary hospital indemnity insurance
- Voluntary critical illness insurance
- Voluntary financial protection insurance
- Pet insurance
- Basic Life Insurance at no cost
- Accidental Death & Dismemberment Insurance at no cost
- Long-Term Disability Insurance at no cost
- Health Savings Account (HSA) with company match
- Garner HRA (up to $2,000 for individuals and $4,000 for families)
- 401(k) plan with company match up to 6%
- Tuition reimbursement
- New licensure reimbursement
- Paid training
- Conference attendance
- Continuing education reimbursement
- Paid time for continuing education
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
