Medicaid Advocacy Specialist

1 week ago


Fort Lauderdale, Florida, United States BeneLynk Full time
Job Summary

The Government Relations Specialist will play a critical role in advocating on behalf of members and supporting BeneLynk's mission to provide essential resources to those in need.

Key Responsibilities
  • Develop and implement government relations strategies to amplify company differentiators.
  • Obtain Medicaid application outcome information from state agencies and analyze state eligibility decisions for accuracy.
  • Process state correspondence and provide direct member advocacy to resolve errors, including filing appeals on behalf of members and representing them at fair hearings as needed.
  • Monitor data to identify trends that negatively impact members and company revenue, and analyze opportunities for internal process improvements.
  • Develop and maintain relationships with government and/or local community agency representatives and key external stakeholders.
  • Maintain current knowledge of state and federal Medicaid eligibility and regulatory requirements.
  • Conduct Medicaid/SNAP policy research and document state-specific policies and procedures for internal use.
  • Advises the VP of Government Relations and/or other operations teams of any relevant process implications, new ideas, and/or process improvement suggestions.
  • Conduct QA reviews, call monitoring, and state notice processing as needed to ensure QA/GR team goals are met.
  • Promote a culture of excellence, working cooperatively with all staff to identify solutions, enhance services, and mitigate errors to improve operations.
  • Participate as required in BeneLynk's staff and operational development programs.
Requirements
  • Education: Associate degree or equivalent experience in healthcare administration, business, finance, or a related field from an accredited college or university.
  • Experience: One year of experience with demonstrated success in member advocacy, paying attention to detail, understanding of Medicaid eligibility, and ability to effectively prioritize work.
  • Language Skills: Excellent verbal and written communication skills, ability to communicate with elderly and disabled individuals. Bi-lingual (English & Spanish) preferred.


  • Fort Lauderdale, Florida, United States BeneLynk Full time

    Job SummaryThe Government Relations Specialist will play a critical role in advocating on behalf of members and supporting BeneLynk's mission to provide essential resources to those in need. This position will engage with federal, state, and county Medicaid agencies to ensure that members receive the benefits they are entitled to.Key ResponsibilitiesDevelop...


  • Fort Lauderdale, Florida, United States Catholic Health Services Full time

    OverviewThe role involves managing the billing processes and ensuring timely follow-up for all assigned Medicaid claims related to nursing facilities and hospitals, while maintaining cost-effectiveness and efficiency. Effective management of accounts receivable is achieved through collaboration with nursing home and hospital administrative teams, as well as...


  • Fort Lauderdale, Florida, United States Schlesinger Law Offices, P.A. Full time

    Job OverviewAre you seeking a rewarding position as a legal support professional?We are in search of two (2) dedicated legal support specialists to manage case files from initiation to resolution.Our Senior Trial Attorneys are looking for motivated individuals with at least 5 years of experience in civil litigation and trial preparation to assist with cases...


  • Fort Lauderdale, Florida, United States State of Florida Full time

    Position Overview:This role is integral to the Office of Economic Self-Sufficiency within the Florida Department of Children & Families. The Eligibility Assessment Specialist II is responsible for providing essential support to the unit's supervisor in daily operations.Key Responsibilities:1. Conduct comprehensive reviews of cases throughout various stages...


  • Fort Lauderdale, Florida, United States Nova Southeastern University Full time

    Job SummaryNova Southeastern University is seeking a highly skilled Credentialing and Contracting Specialist to join our team. As a key member of our staff, you will be responsible for planning, directing, and coordinating work activities related to credentialing and contracting.Key ResponsibilitiesPlan, direct, and coordinate work activities related to...


  • Fort Lauderdale, Florida, United States Elevate Patient Financial Solutions Full time

    Position OverviewElevate Patient Financial Solutions is seeking a dedicated Spanish-Speaking Patient Support Specialist. This role is essential in assisting uninsured patients by connecting them with programs that can alleviate their medical costs.Key Responsibilities- Act as a bridge between patients, healthcare facilities, and governmental organizations.-...


  • Fort Lauderdale, Florida, United States Catapult Learning Full time

    Position Overview:As a Math and Reading Intervention Specialist, you will play a vital role in enhancing student learning outcomes for grades K-12. This position offers both part-time and full-time opportunities during regular school hours.Key Responsibilities:1. **Student Advocacy:** Act as a mentor and advocate for students, guiding them through their...


  • Fort Lauderdale, Florida, United States Catapult Learning Full time

    Position Overview:As an Intervention Specialist, you will play a pivotal role in enhancing student learning outcomes through targeted instruction in Math and Reading for grades K-12. This position offers both part-time and full-time opportunities during regular school hours.Key Responsibilities:1. **Student Advocacy:** Act as a mentor and advocate for...


  • Fort Lauderdale, Florida, United States ICBD Holdings LLC Full time

    About ICBD Holdings LLCICBD Holdings LLC is a leading provider of medical billing services, specializing in the substance use disorder, mental health, and autism fields of healthcare services.Job SummaryWe are seeking a highly skilled Clinical Utilization Review Specialist to join our team. As a Utilization Review Specialist, you will play a pivotal role in...


  • Fort Lauderdale, Florida, United States Catapult Learning Full time

    Position Overview:As a Math and Reading Intervention Specialist, you will play a crucial role in fostering academic success for students in grades K-12. This part-time or full-time position involves working during regular school hours, providing targeted instruction in reading and mathematics to small groups of students in a supportive educational...


  • Fort Lauderdale, Florida, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full time

    Exciting Nocturnist OpportunitiesJoin our dedicated team as a Nocturnist Physician in a thriving healthcare environment. We are looking for both new graduates and seasoned Internal Medicine or Family Medicine Physicians to fill two available positions.Position Highlights:Nocturnist RolesNights OnlyCompetitive Salary: Starting at $300K+ with RVU Bonuses from...


  • Fort Lauderdale, Florida, United States AIDS Healthcare Foundation Full time

    ABOUT US:DEDICATED PROFESSIONALS WORKING FOR A CAUSE at AIDS Healthcare FoundationAre you motivated by the opportunity to make a significant impact in the lives of others while receiving competitive compensation? Do you seek to be part of an organization that fosters growth and success for every employee?If this resonates with you, AIDS Healthcare Foundation...


  • Fort Lauderdale, Florida, United States AIDS Healthcare Foundation Full time

    ABOUT US:DEDICATED PROFESSIONALS SERVING A POSITIVE CAUSE at AIDS Healthcare FoundationAre you motivated by the opportunity to make a significant impact in the lives of others while receiving competitive compensation? Do you seek to be part of an organization that fosters growth and success for every employee?If this resonates with you, AIDS Healthcare...


  • Fort Lauderdale, Florida, United States AIDS Healthcare Foundation Full time

    ABOUT US:DEDICATED PROFESSIONALS WORKING FOR A POSITIVE IMPACT at AIDS Healthcare FoundationAre you motivated by the opportunity to make a significant difference in people's lives while receiving competitive compensation? Do you seek to be part of an organization that fosters growth and success for all its team members?If so, AIDS Healthcare Foundation is...


  • Fort Lauderdale, Florida, United States Catholic Health Services Full time

    Position OverviewThe Insurance Billing Specialist is accountable for the billing and prompt follow-up of all assigned Medicaid claims for healthcare facilities, ensuring a cost-effective and efficient process. Effective management of accounts receivable relies on collaboration with the business office and admissions staff, as well as adherence to various...


  • Fort Lauderdale, Florida, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full time

    Interventional Pain Management OpportunityLocated in the vibrant Metro Miami/Ft. Lauderdale area, this position is ideal for a Board Certified or Eligible Fellowship Trained (ACGME) Interventional Pain Management Physician.Position Overview:This opportunity arises from the expansion and growth of a well-established, single specialty group dedicated to...


  • Fort Lauderdale, Florida, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full time

    Interventional Pain Management OpportunityWe are seeking a highly qualified and experienced Board Certified or Eligible Fellowship Trained (ACGME) Interventional Pain Management Physician to join a well-established and expanding single specialty group in the vibrant Metro Miami/Ft. Lauderdale area.Position Highlights:- No Call: Enjoy a balanced work-life...


  • Fort Lauderdale, Florida, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full time

    Interventional Pain Management OpportunityWe are seeking a highly qualified and experienced Board Certified or Eligible Fellowship Trained (ACGME) Interventional Pain Management Physician to join a well-established and expanding medical group.Position Highlights:- This role is available due to significant growth within the practice.- You will be part of a...


  • Fort Lauderdale, Florida, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full time

    Position Overview:We are seeking a highly qualified and experienced Interventional Pain Management Physician to join a well-established and flourishing single specialty group in the Metro Miami/Ft. Lauderdale area. This opportunity arises due to the expansion and growth of our practice.Key Responsibilities:- Provide comprehensive pain management services.-...


  • Fort Lauderdale, Florida, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full time

    Position Overview:We are seeking a highly skilled and experienced Interventional Pain Management Physician to join a well-established and expanding medical practice in the Metro Miami/Ft. Lauderdale area. This opportunity arises due to significant growth within the organization.Practice Details:This role is within a thriving single specialty group that...