Enrollment Analyst: Eligibility & Compliance Specialist

Senior LIFE; East York (PA); Sur place; USD 52 000 - 76 000; Plein temps

Résumé du poste

PACE Consulting Solutions is seeking an Enrollment Analyst to join the Enrollment team. The role focuses on overseeing compliance with the Enrollment, Eligibility and Disenrollment processes, primarily related to financial eligibility and regulatory requirements.

The Analyst will support prospective enrollees and families in determining financial eligibility at enrollment and throughout enrollment, and will coordinate with the LIFE team on regulatory matters, care planning and documentation.

Qualifications

• Five years’ experience in health and human services.
• Experience with Medicare regulations and financial guidelines.
• Experience with Medicaid regulations and completing PA 600 and MA eligibility.

Responsabilités

• Oversee compliance with Enrollment, Eligibility and Disenrollment processes.
• Assist enrollees and families in determining financial eligibility during enrollment and ongoing.
• Collaborate with LIFE team on regulatory processes, care planning and documentation.

Connaissances

Health & human services experience

Medicare regulations knowledge

Medicaid regulations knowledge

Description du poste

PACE Consulting Solutions is seeking an Enrollment Analyst to join the Enrollment team. The role focuses on overseeing compliance with the Enrollment, Eligibility and Disenrollment processes, primarily related to financial eligibility and regulatory requirements.

The Analyst will support prospective enrollees and families in determining financial eligibility at enrollment and throughout enrollment, and will coordinate with the LIFE team on regulatory matters, care planning and documentation.