Senior Medicaid Recertification Assistant

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched 401k retirement saving program
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement and CEU credits

What You Will Do

• Reviews patient recertification date and determines eligibility for Medicaid.
• Processes Medicaid applications. Conducts follow up contact with members when additional information is needed. Ensures proper documentation is recorded in the Recertification Tracking Tool.
• Submits Medicaid applications to Human Resources Administration (HRA) office.
• Assists members with any inquiries in regards to surplus payments when member claims hardship.
• Submits Stensen, Milestone, and PA applications to HRA for SSI members who have lost coverage.
• Prepares problem/escalated cases for management to review and resolve.
• Prepares weekly and monthly productivity reports for Management to review.
• Analyzes and investigates recurring issues; takes appropriate action including escalation to Senior Medicaid Recertification Coordinator or Supervisor. .
• Sends out Medicaid Recert packets to members in preparation for their Medicaid recertification.
• Scans, files into document repository; retrieves files as requested.
• Monitors members in the recertification process to ensure resolution.
• Participates in special projects and performs other duties as assigned.

Education:

• Associate's Degree in health, human services, other related discipline or equivalent work experience required

Work Experience:

• Minimum two years experience in health care, insurance, or social services processing bills and Medicaid applications required
• Effective oral, written, verbal communication and customer service skills required
• Personal Computer skills including Microsoft Word and Excel required
• Analytical skills, including compilation and analysis of data, report creation and recommendations based on findings preferred