Medicaid Eligibility Specialist

Summary

Join FreedomCare, a leading home care agency, as a Medicaid Eligibility Specialist! This remote position, with potential travel, focuses on ensuring patients receive our services by facilitating Medicaid approvals and maintaining eligibility. You will guide clients through the application process, manage renewals, maintain accurate records, and collaborate with various departments. Make a positive impact by advocating for clients and ensuring timely processing of Medicaid benefits. FreedomCare offers competitive compensation, medical benefits, retirement plans, wellness programs, and opportunities for professional growth.

Requirements

• Minimum of 2 years of experience in Medicaid, healthcare, or social services
• Experience in client support, case management, or benefits coordination
• Minimum of 2 years of understanding of the Medicaid eligibility and application process for the state of Missouri
• Excellent organizational and time management skills
• Proficient in using case management software and other relevant technology
• Strong communication and interpersonal skills, with the ability to work effectively with diverse populations
• Ability to analyze complex information and make informed decisions

Responsibilities

• Provide clients with information and guidance on Medicaid eligibility requirements and benefits
• Address client inquiries and concerns related to Medicaid applications, renewals, and coverage
• Manage alternative resources for clients to meet Medicaid eligibility requirements
• Conduct client education sessions on Medicaid programs and benefits
• Subject matter expert relative to Missouri Medicaid spenddown requirements through the clients’ pre-care & on care status
• Monitor and manage the Medicaid renewal process for existing clients
• Notify clients of upcoming renewal deadlines and assist with the submission of required documentation
• Ensure that renewals are processed in a timely manner to avoid lapses in coverage
• Maintain accurate and detailed records of verification processes and outcomes
• Update patient records in salesforce to reflect current Medicaid status
• Design Medicaid eligibility and spenddown process along with trackability reports in Salesforce
• Serve as a point of contact for Medicaid inquiries from clients, caregivers, and Health plan partners
• Assist clients in understanding Medicaid eligibility, benefits, and application processes
• Advocate for clients to ensure they receive appropriate Medicaid services
• Respond to inquiries from patients and healthcare providers regarding Medicaid coverage and eligibility
• Work closely with partnering departments to resolve any issues related to Medicaid coverage and recertification
• Assist with training staff members on Medicaid verification procedures and policies
• Collaborate with partnering departments, case managers, and other healthcare professionals to support patients’ access to Medicaid benefits
• Identify and resolve issues that may affect clients' Medicaid eligibility or coverage
• Work with government agencies and other stakeholders to address and resolve complex Medicaid-related cases

Preferred Qualifications

Associate or bachelor's degree in social work, Healthcare Administration, Public Health, or a related field

Benefits

• Competitive compensation
• Medical benefits
• Retirement plans
• Wellness programs
• Fun company events
• Ongoing learning opportunities to grow your career