Medicaid LTC Eligibility Specialist

Alamance County Government

Burlington (NC)

On-site

USD 38,000 - 54,000

Full time

10 hours ago
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Benefits offered by this job

Health Insurance
Retirement Benefits
Paid Time Off

Job summary

Alamance County Government seeks a Medicaid Eligibility Specialist to determine LTC program eligibility under Adult Medicaid, including PACE, using the NC FAST system. The role involves interviewing applicants, verifying information, and maintaining case files within regulatory guidelines.

Ideal candidates have a high school diploma or GED and at least two years of income maintenance experience, with strong analytical, math, and customer-service skills.

Qualifications

  • High school diploma or GED required.
  • Two years of experience as an Income Maintenance Caseworker or equivalent.
  • Knowledge of NC FAST and income maintenance programs preferred.
  • Ability to read, interpret complex regulations and policies.
  • Ability to work independently and prioritize assigned tasks.

Responsibilities

  • Receives and processes LTC program applications per NC FAST rules.
  • Interview applicants to determine eligibility and verify information.
  • Maintain up-to-date knowledge of policies and procedures and manage case files.
  • Perform casework for Private Living Arrangement and Long-Term Care Medicaid.
  • Coordinate with interagency staff and community partners to provide services.

Skills

Accountability
Accuracy
Advocacy
Analytical thinking
Oral communication
Written communication
Time management
Customer focus
Judgment
Problem solving

Education

High school diploma or GED

Job description

Alamance County Government seeks a Medicaid Eligibility Specialist to determine LTC program eligibility under Adult Medicaid, including PACE, using the NC FAST system. The role involves interviewing applicants, verifying information, and maintaining case files within regulatory guidelines.

Ideal candidates have a high school diploma or GED and at least two years of income maintenance experience, with strong analytical, math, and customer-service skills.

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