Benefits Specialist- Medicaid Eligibility Specialist
3 weeks ago
Details Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024.
Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their Medicaid eligibility and remain a member in the ABHMD Managed Care Organization (MCO) Plan, by preventing or rectifying the disenrollment of members due to loss of their Maryland Medicaid eligibility.
Key Responsibilities
- 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.
- Ensure copies of notices and documentation are filed in Members' electronic records.
- 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.
- Coordinate with Primary Care Sites when working with members on loss of Maryland Medicaid eligibility.
- Thoroughly log all member related interactions into Salesforce for the purpose of accurate tracking and analysis.
- Develop a process for effectively identifying members with issues and communicating resolution of the issue.
- Complete a Weekly Status Report for Supervisor and ABHMD Managers.
Minimum Qualifications
- Associate's Degree or equivalent experience.
- 3-5 years Eligibility Experience
- 3+ years of Medicaid programs experience
- Experience working with Medicaid eligibility requirements, as well as enrollment, renewal and redetermination related regulations and process.
- 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.
#INDHRS
-
Linthicum, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024. Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their Medicaid eligibility and remain a member in the ABHMD...
-
Linthicum, MD, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024.Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their...
-
Linthicum, MD, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024.Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their...
-
Linthicum, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024.Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their...
-
Linthicum, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024. Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their Medicaid eligibility and remain a member in the ABHMD...
-
Linthicum, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024.Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their...
-
Linthicum, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024.Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their...
-
Linthicum, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024.Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their...
-
Linthicum, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024.Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their...
-
Linthicum, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024.Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their...
-
Linthicum, United States NTT DATA Full timeDetails Below: POSITION : EligibilitySpecialist-Medicaid (Maryland) LOCATION : Onsite-Linthicum, MD JOB TYPE : Contract PAY: $21.70 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024.Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their...
-
Linthicum Heights, United States NTT DATA Full timeDetails Below:POSITION : EligibilitySpecialist-Medicaid (Maryland)LOCATION : Onsite-Linthicum, MDJOB TYPE : ContractPAY: $21.70 per hourHOURS: M-F 8:30am-5:00pmSTART DATE: 11/18/2024.Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their...
-
Long Term Care Medicaid Eligibility Specialist
4 weeks ago
Owings Mills, MD, United States London Disability Full timeCompany DescriptionLondon Eligibility, Inc. is in Owings Mills, MD. We support Hospitals and Long Term Care facilities with establishing Medicaid and other health insurance resolutions for their uninsured patients. We are a professional disability and medical benefits representation organization. We represent healthcare systems and their patients by taking...
-
Complex Claims Specialist
15 hours ago
Dallas, TX, United States PuroClean Certified Restoration Specialist of Auburn Full timeOur client is a leading international carrier in search of a Complex Claims Specialist to join their Professional Liability Division. This role can be housed nationwide in any hub office (or remote with occasional travel into the office) including Chicago, New York, Atlanta, Dallas, or Scottsdale. This individual will function as a high level adjuster,...
-
Fort Wayne, IN, United States Creative Financial Staffing Full timeMedical Billing Specialist Job Description of the Medical Billing Specialist: We are seeking a detail-oriented and experienced Billing Specialist with extensive knowledge of Medicare and Medicaid billing procedures to join our team. As a Billing Specialist, you will play a crucial role in ensuring accurate and timely billing for our healthcare...
-
Benefits Specialist
4 weeks ago
Chicago, IL, United States Addison Group Full timeJob Title: Benefits Specialist - ContractLocation: Rogers Park - Chicago, ILIndustry: Non-ProfitPay: $30-$34/hr (Contract-to-Perm), or $70K-$80K/year if convertedAbout Our Client:Addison Group is partnering with a leading non-profit in behavioral healthcare. With recent funding and a mission to become an employer of choice in the industry, they are seeking a...
-
Vice President, Medicaid
3 weeks ago
Oakland, CA, United States Kaiser Permanente Full timeJob Summary:The VP of Medicaid is a key leader of the Medicaid national line of business and responsible for leading, managing and/or coordinating KP’s Medicaid strategy, planning, regulatory relationships, health plan operations, member service, compliance, industry relationships and related activities in multiple states. The position involves close...
-
Benefits Specialist
4 weeks ago
Newark, DE, United States The Rosen Group Full timeThe Rosen Group has a new opening for a temp to possible perm Benefits Specialist in Newark, DE. This is a 100% onsite position.The Benefits Specialist will serve as a subject matter expert to support the day-to-day administration of the Health and Welfare benefits programs (health, dental, vision, short- and long-term disability, life, AD&D, Flexible...
-
Medical Insurance Benefits Specialist
4 weeks ago
Plano, TX, United States CSI Pharmacy Full timeCompensation: $18.00 - $23.00 (based on location), plus benefits and 401KSummaryThe Medical Insurance Benefits Specialist will be responsible to perform benefit investigation and obtain prior authorization for both new and existing patients to process patient prescription orders in a timely manner while demonstrating excellent customer service to patients,...
-
Medical Insurance Benefits Specialist
1 month ago
Plano, TX, United States CSI Pharmacy Full timeCompensation: $18.00 - $23.00 (based on location), plus benefits and 401KSummaryThe Medical Insurance Benefits Specialist will be responsible to perform benefit investigation and obtain prior authorization for both new and existing patients to process patient prescription orders in a timely manner while demonstrating excellent customer service to patients,...
