A-Line Staffing Solutions
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Medicaid Benefits Consultant
Job Description
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
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Ready to kick start your career in Linthicum Heights, Maryland? Nestled in Anne Arundel County, this charming town offers an array of job opportunities amidst its picturesque surroundings. Enjoy the proximity to Baltimore/Washington International Thurgood Marshall Airport and the vibrant city life of Baltimore just a short drive away. With easy access to popular attractions like the National Electronics Museum, the Baltimore Museum of Art, and Chesapeake Bay, Linthicum Heights provides a perfect balance of work and leisure. Explore our job listings today and discover the enchanting opportunities awaiting you in this dynamic region!