Medicaid Eligibility Specialist

Chamberlin Edmonds works as an augmentation to existing hospital staff to assist uninsured patients through the difficult processes of applying for medical assistance.  Chamberlin Edmonds relieves patients and hospital staff from the confusion and frustration of the application process. 

 

Medicaid Eligibility Specialists are responsible for providing high-quality client focused service by using extensive knowledge of state and federal programs to assist in applying for and obtaining government medical benefits. 

 

This exciting position is based in an area hospital and the duties include:

 

-Screening patient referrals

-Reviewing patient hospital charts

-Interviewing patients on the phone after discharge and face-to-face while still in the hospital

-Completing applications, by hand and on computer, for state and federal programs

-Assisting and assessing the needs of the patient and hospital to ensure that referrals are resolved timely and appropriately

-Providing updates and assistance to hospital personnel and other staff as needed

-Maintaining documentation in both hospital computer and company database

 

 

REQUIREMENTS:

 

-Associates Degree; 4-year degree preferred

-Ability to read and speak Spanish fluently A PLUS

-Knowledge of State Medicaid (SOBRA, AHCCS Care, ALTCS, etc) and/or SSA/SSI disability application processes and programs

-Ability to ready and apply the information contained in medical records to appropriate program

-Previous experience in Nursing or Social Work desirable

-Previous hospital experience in Financial Counseling or Admissions desirable

-Previous case management experience a plus

-Previous experience at SSA or AHCCCS helpful

-Ability to apply knowledge of state/federal programs to benefit coverage for the patient

-Reliable transportation

-Understanding of and the ability to apply the medical definition of disability as it relates to body systems and functions of daily living

-Demonstrated experience working with people of various educational and socioeconomic backgrounds (Health care setting preferred)

-Computer skills, including word processing, data entry, required (MS Office, Excel preferred)

-Demonstrated strong written and verbal communication skills