FreedomCare
healthcare
MedicaidEligibilitySpecialist
“Medicaid Eligibility Specialist at FreedomCare. Skills: Medicaid Eligibility, Medicaid Renewal Processing, Documentation and Record Keeping, Communication, Collaboration and Support. Provide clients with information and guidance on Medicaid eligibility requirements and benefits.. Address client inquiries and concerns related to Medicaid applications, renewals, and coverage.”
Industry & Context.
Ability to analyze complex information and make informed decisions.; Identify and resolve issues that may affect clients' Medicaid eligibility or coverage.; Work with government agencies and other stakeholders to address and resolve complex Medicaid-related cases.
What They're Looking For.
Must Have
2+ years of experience in Medicaid, healthcare, or social services, Experience in client support, case management, or benefits coordination, 2+ years of understanding of the Medicaid eligibility and application process for the state of Colorado, Excellent organizational and time management skills, Proficient in using case management software and other relevant technology, communication and interpersonal skills, with the ability to work effectively with diverse populations, Ability to analyze complex information and make informed decisions
Nice to Have
Associate or bachelor's degree in social work, Healthcare Administration, Public Health, or a related field
What You'll Do.
Provide clients with information and guidance on Medicaid eligibility requirements and benefits.
Address client inquiries and concerns related to Medicaid applications
Manage alternative resources for clients to meet Medicaid eligibility requirements.
Conduct client education sessions on Medicaid programs and benefits.
Subject matter expert relative to Colorado Medicaid spenddown requirements through the clients’ pre-care & on care status.
Monitor and manage the Medicaid renewal process for existing clients.
Notify clients of upcoming renewal deadlines and assist with the submission of required documentation.
Ensure that renewals are processed in a timely manner to avoid lapses in coverage
Maintain accurate and detailed records of verification processes and outcomes.
Update patient records in salesforce to reflect current Medicaid status.
Design Medicaid eligibility and spenddown process along with trackability reports in Salesforce.
Serve as a point of contact for Medicaid inquiries from clients
and Case Management Agencies.
Assist clients in understanding Medicaid eligibility
and application processes.
Advocate for clients to ensure they receive appropriate Medicaid services.
Respond to inquiries from patients and healthcare providers regarding Medicaid coverage and eligibility.
Work closely with partnering departments to resolve any issues related to Medicaid coverage and recertification.
Assist with training staff members on Medicaid verification procedures and policies.
Collaborate with partnering departments
and other healthcare professionals to support patients’ access to Medicaid benefits.
Identify and resolve issues that may affect clients' Medicaid eligibility or coverage.
Work with government agencies and other stakeholders to address and resolve complex Medicaid-related cases.
How You'll Work.
Team & Collaboration
Work closely with partnering departments to resolve any issues related to Medicaid coverage and recertification.; Collaborate with partnering departments, case managers, and other healthcare professionals to support patients’ access to Medicaid benefits.
Communication Scope
excellent communication skills; communication and interpersonal skills
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