Medicaid Eligibility & Enrollment Specialist

Freedom Healthcare; Lake Charles (LA); Sur place; USD 48 000 - 64 000; Plein temps

Résumé du poste

Freedom Behavioral Hospital in Lake Charles, LA is seeking an experienced Medicaid Eligibility & Enrollment Specialist to join our team. You will navigate Louisiana Medicaid processes to determine eligibility and help patients obtain coverage.

The role requires hands-on experience with Louisiana Medicaid applications, documentation, and enrollment, and you will collaborate with hospital staff to ensure timely coverage for patients.

Qualifications

• Prior professional experience working directly with Louisiana Medicaid eligibility and enrollment is mandatory.
• Experience completing and processing Louisiana Medicaid applications.
• Strong understanding of Louisiana Medicaid eligibility requirements, documentation, and approval procedures.
• Experience resolving Medicaid application delays, denials, or eligibility complications.
• Excellent communication, organizational, and problem-solving skills.
• Ability to work independently and manage multiple applications.

Responsabilités

• Identify uninsured and underinsured patients who may qualify for Louisiana Medicaid.
• Assist patients and families with Medicaid applications, documentation, and enrollment.
• Navigate Louisiana Medicaid eligibility systems and application processes.
• Follow up on pending applications and resolve eligibility or enrollment issues.
• Coordinate with Louisiana Medicaid representatives, state agencies, and managed care organizations.
• Identify opportunities for retroactive Medicaid eligibility when applicable.
• Work closely with hospital admissions, intake, and financial teams to ensure timely coverage.
• Maintain accurate documentation and comply with all applicable regulations.

Connaissances

Louisiana Medicaid eligibility

Enrollment processing

Documentation & compliance

Communication skills

Independent work capability

Description du poste

Medicaid Eligibility & Enrollment Specialist

Freedom Behavioral Hospital | Lake Charles, Louisiana

Position Type: Full-Time
Location: Lake Charles, LA

Position Overview

Freedom Behavioral is seeking an experienced, highly motivated Medicaid Eligibility & Enrollment Specialist to join our team in Lake Charles, Louisiana.

Prior hands-on experience with Louisiana Medicaid eligibility, applications, and enrollment is required. We are looking for an individual who understands Louisiana Medicaid processes and can effectively navigate eligibility requirements, resolve application barriers, and assist patients in obtaining coverage.

Key Responsibilities

• Identify uninsured and underinsured patients who may qualify for Louisiana Medicaid.
• Assist patients and families with Medicaid applications, documentation, and enrollment.
• Navigate Louisiana Medicaid eligibility systems and application processes.
• Follow up on pending applications and resolve eligibility or enrollment issues.
• Coordinate with Louisiana Medicaid representatives, state agencies, and managed care organizations.
• Identify opportunities for retroactive Medicaid eligibility when applicable.
• Work closely with hospital admissions, intake, and financial teams to ensure timely coverage.
• Maintain accurate documentation and comply with all applicable regulations.

Required Qualifications

• Prior professional experience working directly with Louisiana Medicaid eligibility and enrollment is mandatory.
• Demonstrated experience completing and processing Louisiana Medicaid applications.
• Strong understanding of Louisiana Medicaid eligibility requirements, documentation, and approval procedures.
• Experience resolving Medicaid application delays, denials, or eligibility complications.
• Excellent communication, organizational, and problem-solving skills.
• Ability to work independently and manage multiple applications.

Preferred Background

• Louisiana Medicaid Application Centers
• Louisiana Medicaid eligibility or enrollment departments
• Hospital Medicaid eligibility and financial counseling
• Medicaid application assistance programs
• Louisiana Medicaid managed care organizations

Why Join Freedom Behavioral?

At Freedom Behavioral, we are committed to improving access to quality behavioral healthcare throughout Louisiana. This position offers the opportunity to directly impact patient access to treatment while supporting the financial and operational success of our hospital.

Please note: Previous Louisiana Medicaid eligibility and enrollment experience is a requirement for consideration.

Freedom provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.