Medicaid Enrollment Specialist #ESF2784
ExpertHiring
Job Information
Top reasons to work for our client: Our client provides full-service health care and personalized support to help you age well at home and in your community. Stable company with tremendous opportunity for career advancement. Have your contributions recognized. Work with an experienced and energetic team. Comprehensive, lucrative salary and benefits.
Job Type: Full Time
Location: Newark, New Jersey
Pay: Great Pay, Benefits + bonus
Job Description
What you will be doing: Gather all necessary documentation to create, submit, doggedly pursue, and appeal Medicaid enrollments for prospective participants. Visit seniors' homes as needed to gather necessary documentation to submit complete applications. Maintain a strong working relationship with the Department of Public and Social Services (DPSS) at the county to ensure a seamless enrollment workflow, adhere to deadlines, and ensure compliance with DHCS and CMS guidelines and policies (for example, marketing guidelines and denials policies). Create and conduct Medicaid enrollment events to attract prospective participants: weekly in each of the WelbeHealth centers in the territory; monthly at senior housing, hospitals, senior centers, and churches; and monthly virtual enrollment sessions. Demonstrate in-depth knowledge of Medicaid rules, processes, practices, and options to enroll, including but not limited to share of cost, spousal impoverishment protections, and appeals processes.
Experience you will need: Bachelor's degree in a relevant field preferred; an additional five (5) years of relevant Medicaid enrollment experience may be substituted. Bilingual (Spanish/English) strongly preferred. Minimum of three (3) years of experience working directly with the county DPSS, submitting, managing, and appealing Medicaid enrollments. Demonstrated knowledge and experience with complex Medicaid enrollment case management.
Benefits: Medical insurance coverage (Medical, Dental, Vision) Work/life balance - we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and sick time 401K savings + match Advancement opportunities - we've got a track record of hiring and promoting from within, meaning you can create your own path! And additional benefits
Our client asked me to submit 3 great people within the next few days. We work directly with the hiring manager and can arrange interviews within a few days.
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