Medicare Eligibility Specialist
About The Position
Join VillageCare as a Full-Time Medicare Eligibility Specialist and be part of a dynamic team that plays a crucial role in transforming lives through health care solutions. In this position, you will have the opportunity to utilize your problem-solving skills to assist individuals in navigating the complexities of Medicare eligibility. With a competitive pay range of $31.89 - $35.88 per hour, you will be rewarded for your expertise while making a tangible difference in the lives of our customers. This role empowers you to embrace a customer-centric approach, ensuring excellence and integrity in every interaction. Seize this chance to contribute to a forward-thinking organization that values smart solutions and fosters innovation in the health care industry. VillageCare: Our Mission VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.
Requirements
- A minimum of 5-7 years of relevant experience in healthcare.
- Well-versed in the intricacies of Medicare and Medicaid systems.
- Bachelor's Degree.
- Proficiency in various software tools related to enrollment and disenrollment processes.
- Strong problem-solving skills.
- Effective communication skills.
- Attention to detail.
- Ability to manage multiple tasks in a fast-paced environment.
Responsibilities
- Conducting daily quality assurance on enrollment and disenrollment files from the State and CMS.
- Maintaining an accurate enrollment census.
- Reconciling VillageCareMAX membership systems.
- Outreach to BPaaS vendors to address eligibility discrepancies and system issues.
- Communicating pertinent information to your supervisor for timely resolution.
- Facilitating monthly and yearly audits of Medicare applications, ensuring compliance with state guidelines for cancellations and disenrollments.
- Overseeing the distribution of enrollment and disenrollment letters.
- Updating internal teams on relevant reports.
- Assisting the Manager of Medicare Eligibility and the Business Development team in achieving departmental goals.
Benefits
- Competitive pay range
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
