Medicaid Specialist - Onsite

BrightliSpringfield, MO
Onsite

About The Position

The Medicaid Specialist manages and coordinates a high volume of data including client information. Serves as the primary point of contact for all Medicaid program activities. This position offers an all-inclusive employee benefits package, telemedicine services, an employee assistance program, and paid time off. The role functions in accordance with the system’s Operational Guidelines and within his/her professional code of ethics. It involves serving as the point of contact for Medicaid clients, providing and coordinating follow-up to update clients on their Medicaid status, and obtaining information needed to process their application. The specialist must be sensitive and responsible to client needs, including data collection, development of Medicaid applications, and maintenance of the application process. Participation in all required meetings, self-evaluation, and adherence to Quality Assurance procedures are also key aspects of the role.

Requirements

  • Requires a high school diploma.

Responsibilities

  • Functions in accordance with the system’s Operational Guidelines and within his/her professional code of ethics.
  • Serves as the point of contact for Medicaid clients that coming into the system’s CPRC services or are current CPRC clients.
  • Provides and/or coordinates a follow-up to all clients and/or their CSS to update on their Medicaid status, and obtain the information needed to process their application.
  • Is sensitive and responsible to client needs, such as data collection, development of Medicaid applications, maintenance of various aspects of the application process, etc.
  • Participates in all required meetings.
  • Regularly participates in evaluation of self.
  • Is responsive to all Quality Assurance procedures of the system, cooperates with utilization review procedures, and follows established procedures, rules and regulations of the Clinical Records Department.

Benefits

  • health
  • dental
  • vision
  • retirement
  • disability
  • life insurance
  • wellness program
  • Telemedicine – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits
  • Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
  • Paid Time Off - 29 days per year including vacation & holiday pay
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