Hybrid Medicaid Eligibility Coordinator

State of Tennessee; Nashville (TN); Hybride; USD 44 000 - 54 000; Plein temps

Résumé du poste

State of Tennessee – TennCare is seeking a Waiver Programs Eligibility Coordinator in Nashville to process and determine eligibility for Medicaid in the Eligibility Operations Group. This role reports to a Waiver Programs Manager and requires collaboration with customers, facilities, and Authorized Representatives to gather information for accurate determinations.

The position emphasizes understanding Medicaid rules, maintaining documentation in TEDS and other systems, and supporting staff with

Qualifications

• Bachelor's degree in a related field and 2 years of relevant work experience.
• Equivalent combination of education and work experience may be considered.
• Experience with Medicaid, managed care, or healthcare organizations is preferred.
• Strong written and verbal communication and organizational skills.

Responsabilités

• Review documents and make eligibility determinations per rules and guidelines.
• Process Medicaid applications promptly according to policies and regulations.
• Support and guide staff on Medicaid rules, policies, and procedures.
• Evaluate production for accuracy and performance standards.
• Provide training resources to improve staff performance.
• Deliver excellent customer service to internal and external stakeholders.

Connaissances

Eligibility determination

Medicaid rules

Customer service

Communication

Formation

Bachelor's degree in related field

Outils

TEDS system

Case management software

Description du poste

State of Tennessee – TennCare is seeking a Waiver Programs Eligibility Coordinator in Nashville to process and determine eligibility for Medicaid in the Eligibility Operations Group. This role reports to a Waiver Programs Manager and requires collaboration with customers, facilities, and Authorized Representatives to gather information for accurate determinations.

The position emphasizes understanding Medicaid rules, maintaining documentation in TEDS and other systems, and supporting staff with