Medicaid Benefits Consultant from A-Line Staffing Solutions
Linthicum, MD
About the Job
Job Title: Medicaid Benefits Consultant
Pay: $23.59 an hr | Bi-weekly
Job Type: Onsite in Linthicum, MD | M-F 8-5
Medicaid Benefits Consultant Overview:
- Understand, and assure compliance to and adherence with, the Medicaid enrollment regulations, and related Maryland HealthChoice program policies and procedures related to Maryland HealthChoice member eligibility redetermination and renewals polices.
- Notify members, in accordance with ABHMD Policies & Procedures (which reflect Maryland Medicaid HealthChoice and Maryland COMAR regulations) of their loss of eligibility.
- Ensure copies of notices and documentation are filed in Members’ electronic records.
- Cultivate and maintain collaborative relationships - with primary care site partners, FQHC and community based outreach/enrollment organizations - to engage their assistance in working with members to maintain their Maryland Medicaid eligibility and correct information.
- Coordinate with Primary Care Sites when working with members on loss of Maryland Medicaid eligibility.
- Thoroughly log all member related interactions into Salesforce for the purpose of accurate tracking and analysis.
- Develop a process for effectively identifying members with issues and communicating resolution of the issue.
- Complete a Weekly Status Report for Supervisor and ABHMD Managers.
- Offer recommendations for improvements in ABHMD practices to enhance service delivery and member satisfaction.
- Participate in ABHMD sponsored meetings and events.
- Represent ABHMD in the community, when requested & provide other duties as assigned.
Medicaid Benefits Consultant Qualifications:
- Associate's Degree or equivalent experience.
- Minimum Years’ Experience Required 3-5 years
- BA/BS Degree preferred.
- 3+ years of healthcare experience
- 2+ years’ experience specifically with Medicaid/Medicare program operations
- 1+ years’ experience with Medicaid policy, financing, program operations, business requirement development, or systems
- Experience working with Medicaid eligibility requirements, as well as enrollment, renewal and redetermination related regulations and process.
- Experience in customer service, specifically working with low-income and culturally diverse populations or, Medicaid enrolled or eligible individuals in person and on the phone.
- Experience working with healthcare systems/services and/or experience working with community organizations, social services and public resources.
Medicaid Benefits Consultant Benefits:
- Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
- A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.
How to Apply:
If you are interested in this position, please apply OR submit your resume to:
Saw Hlaing | shlaing@alinestaffing.com | 412-790-5425
Salary
24 - 24 /hour