Eligibility Specialist

Easterseals MORC is hiring for an Eligibility Specialist to help make a difference and become part of something bigger than yourself. We are looking for Game Changers! The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team. Benefits of Being a Superhero Low-cost Dental/Health/Vision insurance Dependent care reimbursement, and up to 5 days paid FMLA for maternity, paternity, foster care and adoption. Generous 401K retirement plan Paid Leave Options Available Up to $125 bonus for taking 5 days off in a row. 10 paid holidays and 3 floating holidays (Over 30 days total of paid time off) Wellness Programs We are a PSLF (Public Service Loan Forgiveness) Employer. We provide bonuses and extra incentives to reward hard work & dedication. Mileage reimbursement in accordance with IRS rate. Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi. Student loan repayment options Pet Insurance Responsibilities Demographic Information Collection: Interviews consumers, families, guardians, service providers, employers and various governmental agencies to obtain information to determine financial liability Completes financial determinations, verifies and researches insurance information and enters all insurance benefits online to the department’s billing system to allocate charges to first party payers, produce first party bills and maintain accounts receivable Conducts special studies and surveys in such areas as feasibility of offering new services, improvement of efficiency and economy Gathers financial information for the determination of ability to pay for cost of care Community Contact Regarding Consumer Financial Status: Contacts financial institutions, insurance companies and various governmental agencies and programs to determine and enroll consumers in benefit programs to reimburse for mental health services provided Testifies at appeal hearings regarding financial liability Collects and reviews consumer information to obtain and maintain Medicaid coverage Provides liaison activities with governmental agencies, consumers, providers, parents/guardians and others regarding reimbursement matters Researches services to meet consumer’s monthly Medicaid deductibles, prepares reports and monitors Department of Human Services processing activity Reviews monthly Medifax report to ensure Medicaid coverage is maintained Processes financial determinations at least annually, which includes generating letters and financial liability notification to appropriate parties Provides verification of shelter expenses quarterly to the Department of Human Services to secure food stamps, in Consumer Finance Assistant’s absence Verifies residential placements to ensure appropriate benefits Compiles and prepares confidential reports, correspondence and other documents Review of Accounts Receivable: Reviews, and maintains accounts receivable and billing records for follow-up with first party payers for payment Makes recommendations to supervisor as to uncollectible first party accounts Determines and recommends financial liability, payment plans, and county liability for consumers receiving mental health services Reviews quarterly A/R report for accuracy and collection of outstanding balances Works cooperatively with multiple departments to ensure A/R accuracy Customer Satisfaction: Maintains contact with customers including but are not limited to: Consumer, families, and guardians; Providers; Employees All customer related services and reports are delivered within specific timeframes as established by standards of practice All customer related services are coordinated and meet the individual’s needs and expectations Services are rendered in a dependable and reliable manner All interaction with customers are conducted with dignity and respect Assists and directs visitors within the agency #J-18808-Ljbffr