Medicaid & Public Benefits Eligibility Specialist

Volunteers of America National Services (VOANS); Louisville (KY); Presencial; USD 47.000 - 54.000; Tempo integral

Benefícios oferecidos por esta vaga

Medical, Dental & Vision Insurance

403(b) with discretionary contribution

Paid Time Off + Personal Days

Life Insurance & Short-Term Disability

Employee Assistance Program

Wellness incentives (earn up to $350)

Resumo da vaga

Senior Community Care of Kentucky PACE in Louisville seeks an Eligibility Specialist to collect admissions information, coordinate intake, and provide referrals to community agencies. You will promote the program and support enrollment teams.

Requirements include a Bachelor's in health and human services (or four years of related experience), a valid driver’s license, and a clean background. Occasional home visits and a Monday–Friday schedule offer meaningful, purpose-driven work.

Qualificações

• Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
• Must have a valid driver’s license and have means of transportation.
• Must clear background check.
• Education: Bachelor's Degree in a health and human services field or equivalent four (4) years of experience related to public benefits.
• Experience: Two (2) years of experience in case work for public assistance programs or in an information and referral resource role within senior services.
• Must be familiar with benefits available to older adults. Shall have either training or related experience in the job assigned.

Responsabilidades

• In collaboration with Enrollment Specialist, gather necessary documentation and application requirements in working with participants for Medicaid approval.
• Ensures compliance with all State Medicaid Rules and Regulations that pertain to Long Term Care Medicaid.
• Assists participants with applications to Supplemental Nutrition Assistance Program (SNAP), and other state specific Medicaid or public assistance programs for which participants may be eligible.
• Tracking private pay and Medicare-only clients and instrumental in obtaining a smooth transition to Medicaid eligibility. Ensures appropriate forms are completed and participant understanding of financial responsibility when not eligible for Medicare or Medicaid.
• Works with Health Plan Operations Team and Executive Director to ensure A/R Aging report is tracked and monitored, and outstanding debts are collected.
• Reviews and monitors eligibility report provided by Health Plan Operations Team to ensure participants who lose benefits are provided support with re-establishing eligibility.
• Guides participants through financial eligibility process. Supports participants with gathering and submitting supplemental documents which are required to establish eligibility for benefits.
• Provide education on program regulations and other pertinent material to applicants, recipients, and the general public.
• This role is a provider authorized representative for participants’ Medicaid benefits. Reviews Medicaid eligibility, monitors time frame for re-certification and facilitates Medicaid applications for certification and re-certification using state specific Medicaid process. Collects data and prepares reports in accordance with Centers for Medicare and Medicaid Services (CMS) requirements or program requirements.

Conhecimentos

Driving license

Background check clearance

Public benefits knowledge

Formação

Bachelor's Degree in health and human services

Descrição da vaga

Senior Community Care of Kentucky PACE in Louisville seeks an Eligibility Specialist to collect admissions information, coordinate intake, and provide referrals to community agencies. You will promote the program and support enrollment teams.

Requirements include a Bachelor's in health and human services (or four years of related experience), a valid driver’s license, and a clean background. Occasional home visits and a Monday–Friday schedule offer meaningful, purpose-driven work.