See more Collapse

Medicaid Eligibility/MLTC Enrollment Specialist

1 month ago

West Harrison, United States Always Compassionate Home Care Full time

It's fun to work in a company where people truly BELIEVE in what they're doing

We're committed to bringing passion and customer focus to the business.

Always Compassionate Home Care provides the highest quality of community home-based services, combined with exceptional compassion and innovation to enhance each patient's quality of life. By bringing together several of the top home health agencies in the state, we have become one of New York's leading providers with strategically placed offices that serve thousands of clients every day.

Title: Medicaid Eligibility/MLTC Enrollment Specialist

Location: White Plains, NY

Compensation: $75,000

Overview:

The Medicaid Eligibility/MLTC Enrollent Specialist assists individuals in applying for and obtaining Medicaid benefits/entitlements. The Specialist works with applicants to determine eligibility, gather necessary documentation, and complete the application process.

***The position is based on site in White Plains, NY. Local travel may be required for home visits and participation in networking/outreach events.

Responsibilities:

  • Perform all enrollment related activities, such as identifying potential prospects, screening leads to ensure eligibility requirements, setting up in-person/virtual appointments, explaining the program, completing enrollment applications, and submitting enrollments to ACHC
  • Develop in-depth understanding of ACHC's programs including benefits, eligibility requirements, enrollment process, contracted provider network.
  • Serve as account manager/primary contact for ACHC's priority organizations, working with contact at outside entity to problem solve, report on enrollments and work to improve relationship and ultimately increase referrals.
  • Identify home care appropriate clients via internal and external sources.
  • Assists existing clients and families with identifying unmet needs and gaps in services, referred to appropriate programs within JASA and community services. Acted as liaison between JASA programs to ensure that the client's issues are resolved.
  • Educate prospects/families/advocates on Medicaid Eligibility, Medicaid application submission and MLTC enrollment process. Give presentations to diverse and more senior audiences on ACHC
  • Assists prospective members with selecting appropriate partnering contract, maintained communication to ensure successful enrollment.
  • Assists prospects/families/advocates with Medicaid application submissions and followed up on until getting enrolled into Always Compassionate Home Care program.
  • Assures compliance and adherence with Medicaid enrollment and marketing policies and procedures.
  • Maintain daily communication with Supervisor and team members, discuss and solve problematic, loss and successful referrals once a week.
  • Collaborate with the recruitment and coordination teams for the purpose of staffing upcoming cases
  • Maintain and coordinate interdepartmental communication regarding existing and upcoming client services.
Qualifications:
  • Associate's Degree or equivalent of 5-7 years experience - BA/BS Degree preferred
  • Must be a self-starter with a high level of accountability and responsibility.
  • Thorough and up to date knowledge about Medicaid, Medicaid Eligibility, MLTC, Medicaid application, Spend Down and Pooled Income trust; enrollment policies and guidelines;
  • Strong written and computer skills required.
  • Must possess exceptional interpersonal and public speaking skills.
  • Proven ability to juggle multiple priorities and manage time effectively to achieve end results.
  • Must be able to work independently as well as within a team environment, be flexible, highly organized and be able to prioritize their work.
  • Must have the ability to work in a multicultural environment and perform outreach related activities in the community.
  • Experience in working with elders and disabled individuals.
  • Knowledge of healthcare systems/services and/or experience with community organizations, social services and public resources.
  • Exceptional follow-up and time management skills.
Benefits:
  • Health insurance
  • Dental insurance
  • Vision coverage
  • Aflac
  • 401K


Always Compassionate Home Care provides equal opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or any other non-merit based factors protected federal, state, or local law. All employment-related decisions are based solely on relevant criteria including experience and suitability.

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us

We have other current jobs related to this field that you can find below

  • Medicaid Coordinator

    4 months ago

    West Harrison, United States HC&N Healthcare Solutions Full time

    Medicaid CoordinatorResponsibilities Include: Financial Interview for Medicaid application process Having pt/family sign authorization and order all documents related to application Order all documents and follow up with financial institutions File Medicaid application/conversions Follow up with case worker File fair hearing and attend if necessary Budget...

  • Medicaid Coordinator

    3 months ago

    West Harrison, United States HC&N Healthcare Solutions Full time

    Medicaid CoordinatorResponsibilities Include: Financial Interview for Medicaid application processHaving pt/family sign authorization and order all documents related to applicationOrder all documents and follow up with financial institutionsFile Medicaid application/conversionsFollow up with case workerFile fair hearing and attend if necessaryBudget...

  • Outreach & Enrollment Specialist

    3 months ago

    West Park, United States Broward Community & Family Health Centers, Inc. Full time

    Job DescriptionJob DescriptionWe are seeking an Outreach & Enrollment Specialist to become an integral part of our team! You will work closely with the Community Outreach Manager to provide outreach opportunities for community residents including Broward Community & Family Health Centers (BCOM) patients who lack access to healthcare and health insurance. In...

  • Enrollment Specialist

    2 months ago

    West Valley City, United States Experis Full time

    Are you ready to kickstart your career and join an exciting team? We're looking for enthusiastic and motivated individuals to join us as Enrollment Specialists. If you have a passion for customer service and a knack for problem-solving, this could be the perfect opportunity for you! Skills and Experience Required for All Locations: Customer Service...

  • Eligibility Specialist

    1 month ago

    West Lafayette, United States DFR llc Full time

    Overview: THIS POSITION IS LOCATED IN WEST LAFAYETTE, INDIANA Knowledge Services has an opportunity for individuals drawn to the social service industry with the FSSA/Division of Family Resources (DFR) as an Eligibility Specialist. This position is responsible for assisting in the processing of applications from Indiana residents who are requesting public...

  • Eligibility Specialist

    4 weeks ago

    West Lafayette, United States DFR llc Full time

    Overview THIS POSITION IS LOCATED IN WEST LAFAYETTE, INDIANA Knowledge Services has an opportunity for individuals drawn to the social service industry with the FSSA/Division of Family Resources (DFR) as an Eligibility Specialist. This position is responsible for assisting in the processing of applications from Indiana residents who are requesting public...

  • Provider Enrollment Processor

    3 months ago

    West Covina, United States HospiceMD Full time

    Job DescriptionJob DescriptionJob Description – Provider Enrollment ProcessorPosition Summary: Under general supervision, this position facilitates and coordinates the Provider Enrollment Processing Department by performing the following duties described. This position depends on the ability to be in regular attendance and to adhere to and follow HIPAA...

  • Enrollment Specialist

    3 days ago

    West Springfield, United States Center for Human Development Full time

    Reviews EHR portal throughout the day and calls enrollees referred by MassHealth, MCO/ACOs and community providers to ensure that enrollees are assigned a Care Coordinator within five business days.Verifies enrollee eligibility for CP services with MassHealth. Utilizes various avenues including collateral contacts in order to obtain updated or confirm...

  • RCC Eligibility Specialist

    3 months ago

    West Lafayette, United States DFR llc Full time

    Overview: THIS POSITION IS LOCATED ON-SITE IN WEST LAFAYETTE, IN. The Eligibility Specialist is responsible for processing applications and completing case maintenance activities such as changes to cases in the State eligibility system and ensuring that client service issues are resolved in a timely manner and in accordance with FSSA policies and...

  • RCC Eligibility Specialist

    4 weeks ago

    West Lafayette, United States DFR llc Full time

    Overview THIS POSITION IS LOCATED ON-SITE IN WEST LAFAYETTE, IN. The Eligibility Specialist is responsible for processing applications and completing case maintenance activities such as changes to cases in the State eligibility system and ensuring that client service issues are resolved in a timely manner and in accordance with FSSA policies and procedures....

  • Eligibility Analyst

    4 days ago

    West Columbia, United States North Highland Full time

    REACH YOUR POTENTIAL | COLLABORATE WITH AMAZING PEOPLE | MAKE CHANGE HAPPEN Do you have the skills, passion, and commitment to transform our clients for the better? Are you ready to be a changemaker? If so, join us. North Highland is the world’s leading change and transformation consultancy. Simply put, we make change happen like no one else. And we’re...

  • Customer Service Representative

    3 hours ago

    West Lafayette, United States Avature Full time

    Description & Requirements Maximus is seeking Customer Service Representative - Eligibility Specialists (ES) to join our team in Marion, IN. This role is responsible for receiving high volume, often back-to-back, inbound calls about Medicaid, Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) programs,...

  • Customer Service Representative

    1 month ago

    West Lafayette, United States Maximus Full time $18

    The Customer Service Representative - Eligibility Specialist (ES) is responsible for receiving high volume, often back-to-back, inbound calls about Medicaid, Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) programs. CSRs will assist customers by answer queries, handling complaints and troubleshooting...

  • Customer Service Representative West Lafayette IN

    2 hours ago

    West Lafayette, United States MAXIMUS Full time

    Description & Requirements The Customer Service Representative - Eligibility Specialist (ES) is responsible for receiving high volume, often back-to-back, inbound calls about Medicaid, Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) programs. CSRs will assist customers by answering queries, handling...

  • Analyst, Provider Enrollment

    1 month ago

    West Columbia, United States WillHire Full time

    Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. Business and political climates may change, but we’re stronger than ever. Our A.M. Best rating is A+...

  • Eligibility Referral Specialist 2

    4 weeks ago

    West Chester, United States BUTLER COUNTY OHIO COMMISSIONERS Full time

    [Essential Functions]{.underline}: Interviews clients and their representatives in the office or field to determine initial eligibility for public assistance programs, and completes initial assessment and reassessments of WIA participants and refers clients to community and government agencies as appropriate, contacts third party source when necessary to...

  • Front Desk Intake Eligibility Specialist

    4 weeks ago

    West Bend, United States Energy Services Full time

    JOB REQUIREMENTS: The primary mission of Energy Services is to provide limited income families with the services and assistance necessary to prevent and or alleviate energy-related emergencies from occurring, while promoting initiatives that result in a family\'s long-term self-sufficiency. Energy Services is seeking qualified applicants for a Front Desk /...

  • Customer Service Representative

    1 month ago

    West Lafayette, United States MAXIMUS Full time

    General information Job Posting TitleCustomer Service Representative - West Lafayette, INDateWednesday, July 10, 2024CityWest LafayetteStateINCountryUnited StatesWorking timeFull-time Description & Requirements The Customer Service Representative - Eligibility Specialist (ES) is responsible for receiving high volume, often back-to-back, inbound calls...

  • Customer Service Representative

    2 weeks ago

    West Lafayette, United States MAXIMUS Full time

    General information Job Posting TitleCustomer Service Representative - West Lafayette, INDateWednesday, July 10, 2024CityWest LafayetteStateINCountryUnited StatesWorking timeFull-time Description & Requirements The Customer Service Representative - Eligibility Specialist (ES) is responsible for receiving high volume, often back-to-back, inbound calls...

  • Customer Service Representative

    4 weeks ago

    West Lafayette, United States MAXIMUS Full time

    General information Job Posting TitleCustomer Service Representative - West Lafayette, INDateWednesday, July 10, 2024CityWest LafayetteStateINCountryUnited StatesWorking timeFull-time Description & Requirements The Customer Service Representative - Eligibility Specialist (ES) is responsible for receiving high volume, often back-to-back, inbound calls...