Medicaid Benefits Consultant

4 weeks ago


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

Job Title: Medicaid Benefits Consultant

Pay: $23.59 an hr | Bi-weekly

Job Type: Onsite in Linthicum, MD | M-F 8-5

Medicaid Benefits Consultant Overview:

  • 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.
  • Offer recommendations for improvements in ABHMD practices to enhance service delivery and member satisfaction.
  • Participate in ABHMD sponsored meetings and events.
  • Represent ABHMD in the community, when requested & provide other duties as assigned.


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