Medicaid Eligibility Specialist - Advocate for Care Access

UNC Health; Hendersonville (NC); Vor Ort; USD 22.000 - 33.000; Vollzeit

Zusammenfassung

UNC Health is seeking a Medicaid/SSI eligibility specialist to guide indigent patients through the full Medicaid application process, from submission to award or denial, and to advocate at appeals levels when needed.

You will collect financial information, explain program options, and ensure timely follow-up while representing UNC Health Care in hearings at local, state, and court levels to secure coverage.

Qualifikationen

• Associate's degree in an appropriate discipline (or equivalent combination of education, training and experience).
• Two (2) years of experience in a social services or healthcare organization.
• Experience working with data and preparing reports
• Strong Written and Verbal Communication skills.
• Spanish language fluency

Aufgaben

• Obtains detailed personal, financial and asset information to determine if patient qualifies for one of ten Medicaid/SSI programs. Completes or assists the patient with completion of Medicaid application.
• Explains the programs and advises patients of methods to become eligible by rearranging finances and assets.
• Follows through with applicants to obtain accurate and complete information within strict timeframes. Positions must have substantive knowledge of various rules and regulations governing the ten Medicaid programs.
• Interprets and applies frequent changes in program regulations to expedite applications. 2. Reviews denials from Medicaid/SSI and researches denial information with patients. Advocates for patient coverage with local and state Medicaid offices to obtain reversal of initial denial.
• Abstracts information, prepares appeals and represents UNC Health Care System in appeal hearings at local, state (Division of Medical Assistance), Office of Administrative Hearings, and state court to present supportive evidence for patient's denial reversal.

Kenntnisse

Experience with data and reporting

Strong written and verbalcommunication

Spanish language fluency

Ausbildung

Associate's degree or equivalent

Jobbeschreibung

UNC Health is seeking a Medicaid/SSI eligibility specialist to guide indigent patients through the full Medicaid application process, from submission to award or denial, and to advocate at appeals levels when needed.

You will collect financial information, explain program options, and ensure timely follow-up while representing UNC Health Care in hearings at local, state, and court levels to secure coverage.