Eligibility Operations Specialist
6 days ago
Job Summary
The Eligibility Operations Field Specialist will collaborate with the KanCare Clearinghouse and KDHE eligibility team to assist consumers with the completion of applications, collect information, and route applications to the Clearinghouse for timely determination of eligibility. This position will also help Kansas consumers understand and navigate the online application process.
Key Responsibilities
- Assist consumers with the completion of applications and collect information to support eligibility determinations.
- Collaborate with the KanCare Clearinghouse and KDHE eligibility team to ensure timely and accurate eligibility determinations.
- Help consumers understand and navigate the online application process.
- Maintain current policy and program knowledge to authorize Medicaid benefits and answer inquiries from the general public and agencies.
- Analyze, interpret, and apply complex policies and regulations to determine eligibility.
- Utilize computer information systems to investigate consumer circumstances and make eligibility determinations.
- Collaborate with eligibility staff at the KanCare Clearinghouse and DCF Regional Offices as needed.
Requirements
- High School diploma or equivalent required.
- Valid driver's license required.
- One year of experience in planning, implementing, and monitoring activities, and determining eligibility in FM and/or E&D units or other related Medicaid eligibility/customer service experience preferred.
- Bachelor's degree in liberal arts or business preferred.
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