Medicaid Benefits Consultant

Found in: Jooble US O C2 - 2 weeks ago


Linthicum MD, United States A-Line Staffing Solutions Full time

59 an hr | Bi-weekly

Understand, and assure compliance to and adherence with, the Medicaid enrollment regulations, and related Maryland HealthChoice program policies and procedures related to Maryland HealthChoice member eligibility redetermination and renewals polices.
Notify members, in accordance with ABHMD Policies & Procedures (which reflect Maryland Medicaid HealthChoice and Maryland COMAR regulations) of their loss of eligibility.
Cultivate and maintain collaborative relationships - with primary care site partners, FQHC and community based outreach/enrollment organizations - to engage their assistance in working with members to maintain their Maryland Medicaid eligibility and correct information.
Thoroughly log all member related interactions into Salesforce for the purpose of accurate tracking and analysis.
Represent ABHMD in the community, when requested & provide other duties as assigned.

2+ years’ experience specifically with Medicaid/Medicare program operations
1+ years’ experience with Medicaid policy, financing, program operations, business requirement development, or systems
Experience in customer service, specifically working with low-income and culturally diverse populations or, Medicaid enrolled or eligible individuals in person and on the phone.
Experience working with healthcare systems/services and/or experience working with community organizations, social services and public resources.

Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.


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