Eligibility Specialist

7 days ago


Green Bay, Wisconsin, United States CenterWell Home Health Full time
About the Role

We are seeking a highly skilled Eligibility Specialist to join our team at CenterWell Home Health. As an Eligibility Specialist, you will play a critical role in ensuring that our members receive the healthcare benefits they need.

Key Responsibilities
  • Analyze member enrollment information to determine eligibility for Medicaid and Family Care programs.
  • Validate member demographic information and communicate with Aging and Disability Resource Centers (ADRCs) to facilitate timely enrollment and disenrollment.
  • Administer processes related to member enrollment and disenrollment, including analyzing reports of changes in member situations to determine potential eligibility issues.
  • Provide education and support to members to ensure ongoing financial eligibility and continued membership.
  • Determine medical and health-related expenses that may impact member financial obligations.
Requirements
  • Associates degree or equivalent experience.
  • Microsoft technical experience in Word, Excel, and Outlook.
  • 2+ years of experience in eligibility requirements for Family Care and/or Medicaid.
  • Must reside in the state of Wisconsin.
Benefits

CenterWell Home Health offers a comprehensive benefits package, including health benefits, paid time off, holidays, volunteer time, and recognition pay. We also offer a 401(k) retirement savings plan, tuition assistance, and scholarships for eligible dependents.

About Us

CenterWell Home Health is a values-based organization committed to building vibrant and inclusive communities. We deploy a unique approach to managed care, focusing on the common good for all. Our partnership with Humana allows us to create a model of care that provides industry-leading support for members across the healthcare continuum.



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