Medicaid Enrollment Specialist

REDISCOVER•Lee's Summit, MO
•Onsite

About The Position

ReDiscover is seeking a Medicaid Enrollment Specialist for its Adult & Family Services Program, an outpatient therapy department serving individuals and families in southeastern Jackson County, Missouri. ReDiscover is a nonprofit community mental health center that supports people affected by mental illness or substance use. The role helps clients access Medicaid and behavioral health services and works with an internal multidisciplinary team to coordinate client care. The specialist maintains a caseload and engages with clients in person or by phone. They assist clients and families with Medicaid applications and related documentation, verify insurance coverage and eligibility, explain Medicaid benefits and processes, and serve as a resource on Medicaid and other coverage options. The position also helps clients overcome barriers by identifying community resources and making referrals, documents client interactions in ReDiscover’s electronic medical record, and collaborates with clinical and administrative staff. This is a full-time, first-shift position, scheduled Monday through Friday from 8:00 a.m. to 4:30 p.m., at 1535 NE Rice Road in Lee’s Summit, Missouri. Travel is listed as up to 25%.

Requirements

  • Availability to work 40 hours per week, Monday through Friday, 8:00 a.m. to 4:30 p.m.
  • A four-year degree or four years of equivalent experience in lieu of a degree.
  • A valid automobile driver’s license, appropriate automobile insurance, and a safe, reliable, registered automobile available for use during work hours.
  • Excellent customer service skills with a recovery focus.
  • Strong written, oral, and interpersonal communication skills.
  • Intermediate computer skills, including typing/keyboarding and Microsoft Word and Excel.

Nice To Haves

  • At least two years of clinical experience in a direct-service role in a mental health setting.
  • Knowledge of community resources and health and social service systems in the Kansas City metro area, and skill in establishing working relationships with community partners.
  • Previous experience helping individuals with Medicaid.

Responsibilities

  • Maintain and interact with a caseload of clients with diverse characteristics, in person or by phone.
  • Facilitate clients’ Medicaid applications and help clients and families complete applications and related documentation.
  • Investigate potential resources and engage clients who are difficult to serve to help them gain access to services and make connections.
  • Help remove client barriers, including supporting participation in community or social service programs and referring clients to educational or work programs.
  • Collect and maintain client information and document interactions in ReDiscover’s designated electronic medical record.
  • Communicate and collaborate with an internal multidisciplinary team to address wellness needs and coordinate client care.
  • Verify insurance coverage and eligibility for behavioral health services.
  • Educate clients on Medicaid benefits, requirements, and processes.
  • Collaborate with clinical and administrative staff to support seamless access to services.
  • Serve as a resource for staff and clients regarding Medicaid and other coverage options.

Benefits

  • Professional development support through training, collaboration, and meaningful work.
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