Benefits Specialist

3 weeks ago


Southfield, Michigan, United States PACE Southeast Michigan Full time
Job Overview

PACE Southeast Michigan is seeking a highly skilled Benefits Specialist to join our team. As a key member of our staff, you will be responsible for assisting with the paperwork for benefits such as Medicaid and Medicare.

About the Role

The Eligibility Specialist will work under the supervision of the Director of Operations and Enrollment, PACE Southeast Michigan (SEMI). Your primary responsibility will be to assist with the Medicaid application process, including new applications and redeterminations.

Key Responsibilities
  • Work closely with PACE SEMI staff, specifically the Billing Specialist, to ensure seamless communication throughout the Medicaid application process.
  • Collect necessary information for program eligibility, which may require visits to participants' homes if necessary.
  • Document and record all efforts and steps taken during the application or recertification process for each PACE SEMI candidate or enrollee.
  • Collaborate with state agencies on all Medicaid issues affecting current PACE SEMI participants, including recertification, over resource issues, or food stamp issues.
  • Maintain professional and respectful communication with PACE SEMI staff members, participants, contractors, and state agency employees at all times.
  • Ensure confidentiality of all participant information and maintain high-quality services for our participants.
  • Attend professional meetings and committees to stay up-to-date on national standards of practice and ensure compliance with departmental and external standards.


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