Medicaid Eligibility Specialist - Bilingual (Hybrid)
: Job Details :

Medicaid Eligibility Specialist

COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE!

VillageCare is looking for a self-motivated Medicaid Eligibility Specialist for a Full-Time position, 9am-5pm. The Medicaid Eligibility Specialist assists members with Medicaid eligibility and re-certifications. Some daily activities will include:

• Process and submit new Medicaid applications/benefit upgrades and re-cert applications to HRA or designated state entities by vendor of plan.
• Track status of applications and renewals, and monitor their outcome.
• Assist in informing VillageCareMAX team's and business partners of Medicaid approvals, pending, or other insurance issues with members.
• Assist enrollees with scheduling and/or attending Medicaid Fair Hearings to resolve discrepancies on an as needed basis.
• Review weekly Medicaid status reports to identify members with Medicaid coverage issues, follow established department workflow to resolve, and report outlier issues to supervisor for resolution.
• Assist to identify members that are out of compliance with Medicaid renewal requirements.

We would like to speak to those who have a High School diploma and a minimum of 1 year of job related experience. Attention to detail and communication skills are vital to this role. Bilingual.

There are many benefits to working for VillageCare. If you are someone who likes being part of a team, enjoys a highly competitive benefits package from world leading carriers and competitive compensation, than we would love to speak with you!

• PTO package
• 10 Paid Holidays
• Personal and Sick time
• Medical/Dental/Vision
• HRA/FSA
• Education Reimbursement
• Retirement Savings 403(b)
• Life & Disability
• Commuter Benefits
• Paid Family Leave
• Additional Employee Discounts

VillageCare offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible. We are committed to superior outcomes in quality health care.

VillageCare is a Drug-free workplace. Equal Opportunity Employer