Medicaid Eligibility Specialist

Come grow with us!! As an eligibility specialist company, Chamberlin Edmonds serves as an advocate for indigent and uninsured patients as well as victims of crime. We help secure government reimbursement for uncompensated medical care expenses. We have successfully secured millions each year in direct benefits to patients in the form of monthly income for food, shelter and clothing, as well as Medicaid for preventative healthcare.

We are expanding rapidly in terms of geography, market share and service offerings and we are currently seeking a Medicaid Eligibility Specialist. This exciting position is based in an area hospital in Daytona Beach. The ideal candidate must be able to work Monday through Friday plus one weekend of each month.Spanish speaking would be a plus! 


The duties include:

•Screening patient referrals

•Reviewing patient hospital charts

•Interviewing patients on the phone after discharge and face-to-face while still in the hospital

•Completing applications, by hand and on computer, for state and federal programs

•Assisting and assessing the needs of the patient and hospital to ensure that referrals are resolved timely and appropriately

•Providing updates and assistance to hospital personnel and other staff as needed

•Maintaining documentation in both hospital computer and company database

 

REQUIREMENTS:

•Associates Degree

.Ability  to read, write and speak Spanish is a plus

•Knowledge of State Medicaid and/or SSA/SSI disability application processes and programs

•Ability to read and apply the information contained in medical records to appropriate program

•Previous case management experience

•Ability to apply knowledge of state/federal programs to benefit coverage for the patient

•Reliable transportation

•Understanding of and the ability to apply the medical definition of disability as it relates to body systems and functions of daily living

•Demonstrated experience working with people of various educational and socioeconomic backgrounds

•Computer skills, including word processing and data entry, (MS Office, Excel, PowerPoint preferred)

•Demonstrated strong written and verbal communication skills

•Able to work flexible schedule with some weekend work required


PREFERRED:

•Bachelor’s Degree

•Previous experience in Social Work or Nursing

•Previous Hospital business office experience in Financial Counseling or Admissions

•Previous experience working for Social Security Administration (SSA) and/or Department of Children and Families (DCF)



As part of our strategic goal of becoming an Employer of Choice, we offer an outstanding benefits package that includes:


•Medical, Dental and Vision Insurance


•401(k) with employer matching

•Paid Time off

•Short and Long-term disability insurance

•Additional Term Life Insurance

•Advancement Opportunities

•Company Training

•Competitive salaries