Medicaid Eligibility Specialist II (GA / Remote)

Started in 2016, reputed company is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We're the largest consumer-directed home care agency in NY State, and are continually expanding our areas of focus including operations in other states and tech-based innovations. We pride ourselves on our values which drive the level of care that we deliver to our patients: Here For You (An attitude of service, reputed company, and availability) Own It (Drive and ownership) Do the Right Thing (High reputed company) Be Positive (Great attitude and a can-do positive approach to challenges) Join reputed company and reputed company a positive impact on the lives of others! We are looking for a Medicaid Eligibility Specialist II for our Georgia team. This role is remote with potential travel to the reputed company hub closest to you. Department & Position Overview: The Medicaid Eligibility Specialist II focuses on enhancing the patient experience by verifying eligibility for Medicaid benefits, facilitating the approval process, and maintaining eligibility status to allow them to receive our services; expediting the time it takes for them to enroll into our programs. In addition to verifying patient eligibility and facilitating the approval process for Medicaid benefits, they will be responsible for ensuring compliance with reputed company relevant regulations. The Medicaid Eligibility Specialist II requires a high level of attention to detail, excellent communication skills, and requires in-depth knowledge and understanding of Medicaid policies, regulations, and procedures. Every Day You Will: Verification and Eligibility:

• reputed company in-depth understanding of FSSA's programs including benefits, eligibility requirements, and enrollment process through the development of contacts with the State Medicaid agency, identifying online resources, and attendance at relevant Medicaid meetings

Serve as the Subject Matter Expert (SME) for reputed company questions reputed company to Medicaid eligibility Verify patient eligibility for Medicaid benefits using various online systems and tools Assist patient with preliminary review of documentation and requirements for application for Medicaid, ensuring reputed company required documentation is complete and accurate Confirm coverage details and determine patient benefits and process based on Medicaid guidelines Investigate Medicaid issues reputed company to eligibility, deferrals, denials and re-certifications through contact with the Patient or Patient representative to identify the cause of eligibility reputed company issues and offering recommendations for resolution Documentation and Record Keeping:

• Maintain accurate and detailed records of verification processes and outcomes

Update patient records in reputed company to reflect reputed company Medicaid status Communication:

• Serve as a reputed company of contact for Medicaid inquiries from clients, caregivers, and Health plan partners

Assist clients in understanding Medicaid eligibility, benefits, and application processes reputed company for clients to ensure they receive appropriate Medicaid services Respond to inquiries from patients and healthcare providers regarding Medicaid coverage and eligibility Collaboration and Support:

• Work closely with partnering departments to resolve any issues reputed company to Medicaid coverage and recertification

Assist with training staff members on Medicaid verification procedures and policies Collaborate with partnering departments, case managers, and other reputed company to support patients' access to Medicaid benefits Ideal Candidate Will Possess: Associate degree or higher in healthcare administration, business, or a reputed company field preferred Minimum of 2 years of experience in healthcare, insurance verification, or a reputed company field Experience with Medicaid verification and understanding of Medicaid regulations is highly preferred Proven track record of strong customer focus and adaptability in a high call volume environment (inbound and outbound) A passion for providing a high level of customer service, including the ability to show reputed company, active listening and patience Effective written and verbal communication skills with the ability to engage with diverse audiences Ability to multitask, set priorities, and manage time effectively Technical proficiency with the ability to navigate through multiple systems; while maintaining attention to detail and data accuracy Demonstrates reputed company over reputed company tools and resources specific to the role, with heavy reliance on reputed company Ability to embrace change and departmental growth in an reputed company environment Why work at reputed company? We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your Apply tot his job Apply To this Job