Medicaid Eligibility Specialist

Job Description

Job Description

Job Title: Medicaid Eligibility Specialist

Reports to : Eligibility Supervisor

Work Location: Lansing, MI

Work Schedule: Monday – Friday, 8:00am to 4:30pm, 40 hours per week.

Compensation: 22.28/hr. plus comprehensive benefits package generous time off and 14 paid holidays.

General Responsibilities: Assists MI Choice participants with obtaining and determining eligibility for benefits and services. Assists with all administrative functions regarding eligibility for the MI Choice Program.

Essential Job Functions: (Reasonable accommodations will be provided, if necessary, for individuals with disabilities who can perform the essential job functions.)

1. Develops and maintains a thorough knowledge base of public assistance programs including Medicaid, Food Stamps, MI Choice, and State Emergency Relief (SER).
2. Assists participants in applying for Medicaid & Food Stamps, which includes home visits for application completion, verification of documents and problem solving.
3. Advises participants regarding benefit eligibility rules and coverage for Medicaid, Medicare, Supplemental Security Income.
4. Assembles verification documents for the purpose of certifying participants under MI Choice process.
5. Advocates to ensure that participants are receiving benefits and services to which they are entitled.
6. Maintains contacts with local Department of Health & Human Services (DHHS) staff to facilitate the Medicaid process.
7. Provides information and referral services to participants and other interested persons.
8. Assists with monitoring Medicaid recertification dates for participants and completes application for process.
9. Maintains complete, accurate and timely documentation with all MI Choice Eligibility information.
10. Monitors and provides follow up on Medicaid confirmation letters.
11. Verify Medicaid status of Waiver participants within DHHS participant information system.
12. Represents agency at outreach events.
13. Examples of job functions listed do not include all tasks which may be found in this position. Duties and responsibilities may be added, deleted, or modified at any time.

Knowledge, Skills, Abilities and Standards of Performance:

1. Commitment to the organization's missions and goals.
2. Computer skills sufficient to learn specific departmental software programs.
3. Ability to maintain confidential information regarding all aspects of participant, volunteer, employee, and agency information.
4. Ability to work independently or as part of a team.
5. Ability to communicate effectively and establish good relationships with staff, participants, volunteers, and vendors.
6. Ability to represent the Agency in a professional manner.
7. Must be able to adjust priorities to meet deadlines in a timely manner.
8. Ability to meet department standards with regard to job knowledge, participant focus, initiative, productivity, communication, teamwork, and attendance.

Requirements

• Bachelor's degree in human services or related field is preferred.
• 2 years of experience working with community senior resources and public benefits (Medicare & Medicaid) is required.
• A valid Michigan driver's license in good standing (less than 4 points) is required.

Working Conditions:

• The work environment varies. When in the office, safe work practices in regard to office equipment, avoiding trips/falls and fire regulations are required. When traveling to or spending time at residential or medical facilities, exposure to unusual elements such as smoke, unpleasant odors, loud noises, and extreme temperatures increases.

• Physical mobility is required for sitting, walking, standing, bending, and lifting/holding/carrying objects of up to 20 pounds. Must be able to move around in multiple locations with varying physical environments & barriers. Must be able to drive. Ability to enter and access information using a computer. Must be able to communicate effectively with participants, co-workers, and vendors in person and over the telephone.
• Sensory requirements include exposure to varying temperatures, noise levels, environments, and activities.
• Mental requirements include the ability to handle varying and intense levels of stress.

To view the complete posting and to apply online visit,

Tri-County Office on Aging is an Equal Opportunity Employer