Eligibility Specialist - Medicaid & Senior Benefits

Volunteers of America National Services; Durham (NC); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

403(b) plan

Paid time off

Life insurance

Employee Assistance Program

Wellness incentives

Early pay access

Referral bonuses

Job summary

Volunteers of America National Services’ Senior Community Care of North Carolina PACE located in Durham, NC, seeks an Eligibility Specialist to join our mission-driven team. This paid opportunity supports Medicaid/public benefits enrollment and program administration within a hospital-like care setting.

Monday–Friday, 8:00 AM–5:00 PM, with benefits and career growth. You’ll collaborate with Enrollment Specialists, gather documentation, ensure compliance with state Medicaid rules, assist with

Qualifications

• Bachelor's Degree in a health and human services field or equivalent four (4) years of experience related to public benefits
• Two (2) years of experience in case work for public assistance programs or in an information and referral resource role within senior services
• Must be familiar with benefits available to older adults. Shall have either training or related experience in the job assigned.
• Have a minimum of one year of experience in working with the frail or elderly population.

Responsibilities

• In collaboration with Enrollment Specialist, gather necessary documentation and application requirements in working with participants for Medicaid approval.
• Ensures compliance with all State Medicaid Rules and Regulations that pertain to Long Term Care Medicaid. Assists participants with applications to SNAP, and other state specific Medicaid or public assistance programs for which participants may be eligible.
• Tracking private pay and Medicare-only clients and instrumental in obtaining a smooth transition to Medicaid eligibility. Ensures appropriate forms are completed and participant understanding of financial responsibility when not eligible for Medicare or Medicaid.
• Works with Health Plan Operations Team and Executive Director to ensure A/R Aging report is tracked and monitored, and outstanding debts are collected.

Education

Bachelor's Degree in health and human services or equivalent four years of related public benefits experience

Two years of case work for public assistance programs or information/referral in senior services

Job description

Volunteers of America National Services’ Senior Community Care of North Carolina PACE located in Durham, NC, seeks an Eligibility Specialist to join our mission-driven team. This paid opportunity supports Medicaid/public benefits enrollment and program administration within a hospital-like care setting.

Monday–Friday, 8:00 AM–5:00 PM, with benefits and career growth. You’ll collaborate with Enrollment Specialists, gather documentation, ensure compliance with state Medicaid rules, assist with