[Hiring] Medicare & Medicaid Eligibility Specialist @Centauri Health Solutions

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Role Description

As a Medicare/Medicaid Eligibility Specialist, you will advocate and assist low-income Medicare beneficiaries enrolled in a contracted health plan in the application and eventual requalification for government assistance programs.

  • Project empathy over the phone to gain the applicant’s trust and consent for application assistance.
  • Provide program qualifications and expertise to the applicant.
  • Manage outreach to government offices to the point of decision.

The person performing this role must have a strong working knowledge of program qualification requirements spanning 50 states, 3 territories, and hundreds of counties specific to Medicaid, Special Needs Programs (SNP), Low Income Subsidy (LIS), and the Medicare Savings Program (MSP).

Responsibilities

  • Conduct telephonic outreach activities for members who need to apply or recertify for various Medicaid programs including the Medicare Savings Programs.
  • Collaborate with government offices to ensure accurate application and recertification process.
  • Secure documentation for Medicaid/MSP renewal applications if needed for members.
  • Attention to detail by adhering to state requirements and securing supporting documentation.
  • Meet daily, weekly, and monthly production goals while ensuring quality standards.
  • Participate as required in operational development programs.
  • Monitor and research changes with any state and federal regulatory requirements.
  • Demonstrate behaviors, actions, and attitudes that reflect our vision, mission, and values.
  • Perform other duties as assigned.

Requirements

  • Medicare/Medicaid program experience, and experience with screening for Medicaid eligibility a strong plus.
  • Expertise and knowledge of Medicaid, Special Needs Programs (SNP), Low Income Subsidy (LIS), and the Medicare Savings Program (MSP).
  • Strong working knowledge with Microsoft Office programs, and some experience with Excel.
  • Excellent oral communication skills; ability to communicate with elderly individuals and governmental personnel.
  • 2-3 years related experience with direct consumer interaction.
  • Outstanding customer service and communication skills.
  • Strong organizational, analytical, critical thinking, and customer service skills.
  • Ability to analyze and interpret governmental program criteria.
  • Ability to manage a fast-paced environment.
  • Must be able to navigate through multiple databases/monitors with a minimum typing speed of 45 wpm.
  • Telephone experience and ability to interact and decipher information via telephonic or correspondence inquiries.
  • Strong subject matter expertise of Medicaid programs regulations and industry standards.
  • Case management experience or related experience / intermediate.
  • A compassionate and empathetic nature with a strong desire to help and make a difference.
  • Bachelor’s or Associate’s Degree a plus.

Benefits

  • Competitive compensation.
  • Comprehensive benefits package including generous paid time off.
  • Matching 401(k) program.
  • Tuition reimbursement.
  • Annual salary reviews.
  • Comprehensive health plan.
  • Opportunity to participate in volunteer activities on company time.
  • Development opportunities.
  • This position is bonus eligible in accordance with the terms of the Company’s plan.
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About United Kingdom

The United Kingdom is an island nation located on the northwest coast of Europe. The United Kingdom includes the entire island of Great Britain, which includes England, Wales, and Scotland, as well as the northern part of the island of Ireland. The name Great Britain is sometimes used to refer to the United Kingdom as a whole. The capital is London, which is one of the business, financial, and cultural centers of the world. Other major cities are Birmingham, Liverpool, and Manchester in England, Belfast and Londonderry in Northern Ireland, Edinburgh and Glasgow in Scotland, and Swansea and Cardiff in Wales.

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Educational Qualification

Candidates Who Have Passed Graduate or its Equivalent from a Recognized Board or University Are Eligible For this recruitment. Kindly check the Official Notification for more qualification details. Notification Link Is Given Below.

Document Required

Required Documents for This recruitment: Candidate should have these documents before applying online. Candidates are suggested to read the official notification before applying.

  • Qualification certificate with mark sheets.
  • Passport size photographs.
  • Signature.

How to Apply

All the eligible candidates can apply for this job as mentioned below:

  • Read official notification carefully from the official website.
  • Read notification carefully before applying.
  • Fill the application form (link is given below).
  • Attach required documents and passport size photo with signature.
  • Then submit. Done.