• Job Description

  Req#: 2214
  Employer Industry: Healthcare Services
  
  Why consider this job opportunity:
  - Opportunity for career advancement and growth within the organization
  - Hybrid work environment with both in-office and remote work flexibility
  - Supportive and collaborative work environment focused on member care
  - Chance to make a positive impact on the lives of vulnerable individuals in the community
  - 5-star customer service commitment in all interactions
  
  What to Expect (Job Responsibilities):
  - Confirm patient eligibility and primary care provider (PCP) assignments daily for scheduled visits
  - Assist members with the recertification process to maintain Medicaid and Medicare eligibility
  - Maintain knowledge of state and federal eligibility requirements for Medicaid and Medicare beneficiaries
  - Coordinate with member relations and care teams for timely discharges and transitions out of the organization
  - Serve as the subject matter expert on assigned state eligibility and payer eligibility websites
  
  What is Required (Qualifications):
  - High School diploma required; Bachelor's degree preferred
  - 1+ years of experience with Medicaid, Medicare, and/or health plan coverage and eligibility requirements
  - 1+ years of experience serving complex populations in a healthcare setting
  - Proficient computer skills, including Microsoft Office Suite and electronic medical record documentation
  - Good written and oral communication skills for effective collaboration with co-workers and state agencies
  
  How to Stand Out (Preferred Qualifications):
  - Experience working directly with members in a healthcare environment
  - Knowledge of community resources to assist members with healthcare barriers
  - Familiarity with state eligibility and payer eligibility websites
  - Strong organizational skills for managing multiple tasks and responsibilities
  
  #HealthcareServices #MemberCare #CareerOpportunity #HybridWork #CommunityEngagement
  
  "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."

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