Medicaid Benefits Navigator (Hybrid Remote)

Farmington Displays, Inc.; Novi (MI); Hybrid; USD 24,000 - 34,000; Full time

Job summary

FDI Group in Novi, MI is seeking a Temporary Medicaid Coordinator to conduct outbound calls and assist beneficiaries with Medicaid redetermination and benefits education. You will handle inbound inquiries and help members overcome barriers to care.

Responsibilities include outreach, responding to complex questions, and adherence to CMS and state guidelines. A Bachelor’s degree is preferred, with at least 2 years in Medicaid-related roles.

Qualifications

• Minimum 2 years of direct Medicaid beneficiary experience.
• Experience with Medicaid redetermination processing or beneficiary interactions is required.
• Proficiency with Excel and CRM systems; comfortable learning new software.

Responsibilities

• Proactively reach out to Medicaid members to educate on benefits and redetermination.
• Respond to complex questions about plan benefits and accessing care.
• Follow regulatory guidelines, scripts and policies.
• Maintain knowledge of state and CMS guidelines applicable to programs.

Skills

Medicaid knowledge

Customer service

Communication skills

Education

Bachelor's degree preferred

Tools

Excel

CRM

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

MCS: CareSource Temporary Technical Novi, MI, US

30+ days ago Requisition ID: 1003

Overview

Medicaid Coordinators conduct outbound contact to and receive inbound inquiries from Medicaid beneficiaries to assist with understanding of the Medicaid redetermination process, provide education about the features, functions, and benefits of their Medicaid coverage, and assist members with any barriers to accessing care.

They will also handle incoming calls from members going above and beyond to ensure Medicaid beneficiaries have the information they need to utilize their benefits.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Make proactive outreach to members via telephone to provide education and assistance regarding the Medicaid benefits and the redetermination process

Respond to complex Medicaid beneficiary questions about plan benefits and accessing care.

• Have knowledge and understanding of Medicaid eligibility, rules, and processes.
• Required, demonstrable experience and understanding of Medicaid including the Medicaid redetermination process.
• Efficiently manage the designated work lists
• Follow all regulatory guidelines, scripting and policies.
• Demonstrate and maintain knowledge of all state and regulatory guidelines by adhering to program requirements implemented by CMS (Centers for Medicaid and Medicare Services).

Experience:

• Minimum of 2 years working directly with Medicaid beneficiaries in one of the following capacities, processing Medicaid claims and answering beneficiary questions, Medicaid beneficiary customer service, or Medicaid redetermination processing with beneficiary interaction, or Medicaid beneficiary case manager experience.
• Ability to work a flexible schedule which includes both remote and office-based requirements.
• Proficiency in daily, active use of Excel, CRM systems and the ability to learn other software as needed.

Behaviors

• Commitment and dependability.
• Excellent oral and written communication skills.
• Ability to engage beneficiaries with sincerity.
• Ability to confidently learn new computer programs, such as customer relationship management software.
• Excellent organizational and planning skills.
• Ability to communicate effectively with a broad cross section of people.
• Ability to self-motivate.
• Consistently demonstrates high levels of integrity.

Education

Bachelor’s degree preferred, experience in lieu of degree will be considered.

FDI Group is committed to fostering, cultivating, and embracing a culture of inclusion and equality. We welcome and encourage diversity in the workplace and are fully committed to promoting and preserving an environment that supports growth and advancement in all aspects of business.

FDI Group is committed to the hiring, advancement, and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.

Job Types: Full-time, Temporary

Pay: From $21.00 per hour

Expected hours: 40 per week

Work Location: Hybrid remote in Novi, MI 48375