Job Title: Medicaid Benefits Consultant

Pay: $23.59 an hr | Bi-weekly

Job Type: Onsite in Linthicum, MD | M-F 8-5

Medicaid Benefits Consultant Overview:

• Understand, and assure compliance to and adherence with, the Medicaid enrollment regulations, and related Maryland HealthChoice program policies and procedures related to Maryland HealthChoice member eligibility redetermination and renewals polices.
• Notify members, in accordance with ABHMD Policies & Procedures (which reflect Maryland Medicaid HealthChoice and Maryland COMAR regulations) of their loss of eligibility.
• Ensure copies of notices and documentation are filed in Members’ electronic records.
• Cultivate and maintain collaborative relationships - with primary care site partners, FQHC and community based outreach/enrollment organizations - to engage their assistance in working with members to maintain their Maryland Medicaid eligibility and correct information.
• Coordinate with Primary Care Sites when working with members on loss of Maryland Medicaid eligibility.
• Thoroughly log all member related interactions into Salesforce for the purpose of accurate tracking and analysis.
• Develop a process for effectively identifying members with issues and communicating resolution of the issue.
• Complete a Weekly Status Report for Supervisor and ABHMD Managers.
• Offer recommendations for improvements in ABHMD practices to enhance service delivery and member satisfaction.
• Participate in ABHMD sponsored meetings and events.
• Represent ABHMD in the community, when requested & provide other duties as assigned.

Medicaid Benefits Consultant Qualifications:

• Associate's Degree or equivalent experience.
• Minimum Years’ Experience Required 3-5 years
• BA/BS Degree preferred.
• 3+ years of healthcare experience
• 2+ years’ experience specifically with Medicaid/Medicare program operations
• 1+ years’ experience with Medicaid policy, financing, program operations, business requirement development, or systems
• Experience working with Medicaid eligibility requirements, as well as enrollment, renewal and redetermination related regulations and process.
• Experience in customer service, specifically working with low-income and culturally diverse populations or, Medicaid enrolled or eligible individuals in person and on the phone.
• Experience working with healthcare systems/services and/or experience working with community organizations, social services and public resources.

Medicaid Benefits Consultant Benefits:

• Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

How to Apply:

If you are interested in this position, please apply OR submit your resume to:

Saw Hlaing | shlaing@alinestaffing.com | 412-790-5425