Medicaid Benefits Navigator — Remote & Flexible

PREMIER COMPREHENSIVE SERVICES LLC; Oregon; Hybride; USD 42 000 - 62 000; Plein temps

Avantages offerts par ce poste

Flexible schedule

Bonus based on performance

Advancement opportunities

Medicaid benefits guidance

Résumé du poste

Premier Comprehensive Services LLC seeks a knowledgeable Medicaid Benefits & Eligibility Specialist to assist individuals navigating Medicaid eligibility, enrollment, reinstatement, and coverage issues related to behavioral health services. You will be a primary resource for those who lost coverage or face interruptions and will guide them through renewals and state procedures.

The role requires strong communication with state agencies, DFCS, and Medicaid representatives, and a compassionate,

Qualifications

• Knowledge of Georgia Medicaid eligibility, enrollment, renewal, and reinstatement processes.
• Experience with Georgia Gateway, DFCS, DCH, or Medicaid-related systems.
• Ability to communicate effectively with state agencies and Medicaid representatives.
• Strong problem-solving, organizational, and follow-up skills.

Responsabilités

• Medicaid Eligibility & Enrollment assistance: help clients apply and understand eligibility; support reinstatement and renewals; interpret notices and required updates.
• Medicaid Reinstatement & Problem Resolution: investigate interruptions, gather documents, liaise with DFCS/DCH and Medicaid, follow up on deadlines.
• Individual & Community Support: identify barriers, educate on renewals, coordinate with PCS staff to prevent gaps in care.
• Administrative Coordination & Documentation: maintain tracking, document assistance, ensure HIPAA compliance and reporting.
• Agency Collaboration: work with leadership, clinical staff, and external resources to reduce interruptions and share renewal knowledge.

Connaissances

Medicaid eligibility

Enrollment support

Redeterminations

Georgia Gateway

Documentation

Formation

High school diploma

Associate’s or Bachelor’s degree preferred

Outils

Microsoft Office

Electronic records

Online application systems

Description du poste

Premier Comprehensive Services LLC seeks a knowledgeable Medicaid Benefits & Eligibility Specialist to assist individuals navigating Medicaid eligibility, enrollment, reinstatement, and coverage issues related to behavioral health services. You will be a primary resource for those who lost coverage or face interruptions and will guide them through renewals and state procedures.

The role requires strong communication with state agencies, DFCS, and Medicaid representatives, and a compassionate,