MEDICAID ENROLLMENT SPECIALIST

Intermedia Group Inc.; Newark (NJ); Vor Ort; USD 59.000 - 78.000; Vollzeit

Zusammenfassung

Intermedia Group Inc. is seeking a Medicaid Enrollment Specialist in Newark, New Jersey. This role focuses on enrolling prospective participants in Medicaid and supporting MOE team functions.

The ideal candidate has a Bachelor’s degree (or equivalent experience) and at least three years working with county DPSS on Medicaid enrollments, with bilingual Spanish/English strongly preferred.

Qualifikationen

• Bachelor’s degree preferred; five years of Medicaid enrollment experience may substitute.
• Minimum of three years of experience with county DPSS for Medicaid enrollments (submission, management, appeals).
• Demonstrated knowledge of complex Medicaid enrollment case management.

Aufgaben

• Gather all necessary documentation to create, submit, pursue, and appeal Medicaid enrollments for prospective participants.
• Visit seniors' homes to gather documentation and submit complete applications.
• Maintain a strong working relationship with the DPSS county office to ensure seamless enrollment workflow, deadlines, and compliance with guidelines.
• Create and conduct Medicaid enrollment events in centers within territory, monthly at senior housing, hospitals, senior centers, and churches, and monthly virtual enrollment sessions.
• Demonstrate in-depth knowledge of Medicaid rules, processes, practices, and enrollment options, including share of cost, spousal impoverishment protections, and appeals processes.

Kenntnisse

Bilingual Spanish/English

Ausbildung

Bachelor’s degree in relevant field

Jobbeschreibung

OPEN JOB: MEDICAID ENROLLMENT SPECIALIST

LOCATION: Newark, New Jersey

BASE SALARY: $58,718 to $77,521

• The Outreach and Enrollment Team is the first touchpoint prospective participants have with the firm. A vital part of the PACE (Program for All Inclusive Care for the Elderly) enrollment process is aiding those who qualify with the Medicaid Enrollment process.
• The Medicaid Enrollment Specialist focuses on successfully enrolling prospective participants in Medicaid. The Medicaid Enrollment Specialist is a member of the Marketing, Outreach, and Enrollment (MOE) team and provides back-up and support to Outreach and Enrollment functions as assigned.

Essential Job Duties:

• Gather all necessary documentation to create, submit, doggedly pursue, and appeal Medicaid enrollments for prospective participants.
• Visit senior’s homes as needed to gather necessary documentation to submit complete applications
• Maintain a strong working relationship with the Department of Public and Social Services (DPSS) at the county to ensure seamless enrollment workflow, adhere to deadlines and ensure compliance with DHCS and CMS guidelines and policies (for example, marketing guidelines and denials policies)
• Create and conduct Medicaid enrollment events to attract prospective participants:
• Every week in each of the centers in territory
• Monthly at senior housing, hospitals, senior centers, churches
• Monthly virtual enrollment sessions
• Demonstrate in-depth knowledge of Medicaid rules, processes, practices, and options to enroll including but not limited to share of cost, spousal impoverishment protections, and appeals processes

Job Requirements:

• Bachelor’s degree in relevant field preferred, an additional five (5) years of relevant Medicaid enrollment experience may be substituted
• Bilingual (Spanish/English) strongly preferred
• Minimum of three (3) years of experience working directly with the county DPSS submitting, managing, and appealing Medicaid enrollments
• Demonstrated knowledge and experience with complex Medicaid enrollment case management