Eligibility & Financial Determination Specialist

The Home Company
Newport News, VA
Category Healthcare
Job Description
Role Overview

The Eligibility & Financial Determination Specialist works in conjunction with the Enrollment Representatives in overseeing the Medicaid applications being submitted on behalf of InnovAge PACE Participants to the County Technicians.

What You Will Do

Reviews applications, tracks system, ensures compliance with State Medicaid Rules and Regulations, works with Accounts Receivable and the Medicaid Controller/Analyst, troubleshoots difficult cases, and deals with eligibility and classification issues.

Why It Might Be a Fit

Requires 3+ yrs total related experience, 1+ yr with CBMS Medicaid systems and knowledge of Medicaid system and benefits, High School diploma or GED, and a valid state issued driver’s license, personal transportation, good driving record, and auto insurance.

Requirements

  • 3+ yrs total related experience
  • 1+ yr with CBMS Medicaid systems and knowledge of Medicaid system and benefits
  • High School diploma or GED
  • Valid state issued driver’s license, personal transportation, good driving record, and auto insurance

Benefits

  • Medical/dental/vision insurance
  • Short and long-term disability
  • Life insurance and AD&D
  • Supplemental life insurance
  • Flexible spending accounts
  • 401(k) savings
  • Paid time off
  • Company-paid holidays
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