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Medicaid and Medicare Specialist
2 months ago
We are seeking a highly skilled Eligibility Specialist to join our team at PACE Southeast Michigan. As an Eligibility Specialist, you will play a critical role in ensuring the smooth operation of our Medicaid and Medicare programs.
Key Responsibilities- Collaborate with our staff to process Medicaid applications and recertifications, as well as handle Medicare-related matters and disenrollment processes.
- Gather necessary information for program eligibility, including in-home visits if required, to ensure accurate and timely processing.
- Document all steps taken during the application or recertification process for our candidates and enrollees.
- Work closely with state agencies to resolve Medicaid issues affecting our participants.
- Maintain confidentiality of participant information and adhere to our business practices.
- Provide exceptional service to our participants and ensure compliance with established standards.
- Assist with the intake process by screening potential participants and providing education on our programs.
- College degree preferred.
- Knowledge of government benefits programs and social service programs.
- Experience in a Medicaid field is preferred.
- Proficiency in computer applications.
- Ability to make independent decisions and resolve issues effectively.
- Strong organizational and communication skills.
