Medicaid Eligibility Specialist

Would you like to work for a company that is a leader in its industry? How about a company that really does make a difference by helping people? Chamberlin Edmonds is always seeking bright, dedicated and friendly people with the skills and attitude to provide top-notch service to our clients.

Chamberlin Edmonds works as an augmentation to existing hospital staff to assist uninsured patients through the difficult processes of applying for medical assistance. Chamberlin Edmonds relieves patients and hospital staff from the confusion and frustration of the application process.

Our Medicaid Eligibility Specialists are trained to recognize the obscure cases that are frequently overlooked and may not appear to fall under most eligibility guidelines. Our unique expertise enables us to obtain short-term funding solutions and, whenever appropriate, to secure long-term Medicare conversions for patients.

Other factors, other than financial criteria, are used in the decision making process, such as the patient’s mental and physical limitations, gender, age, living conditions, work history and education. All of these factors have a bearing on revenue recovery success.

We routinely make applications for the following programs:

-Supplemental Security Income
-Social Security Disability Insurance
-Medicare
-End Stage Renal Disease
-Medicaid (All Programs)
-Crime Victims Compensation
-Chronically Ill and Disabled Children
-Charity Care
-County Indigent Health Care Programs

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

-Medical, Dental and Vision Insurances
-401(k) with Employer match
-Competitive Salaries
-Paid Time Off
-Advancement Opportunities
-Incentive Compensation
-Company Training
-Term Life Insurance
-Short and Long-term disability insurances

This exciting position is based in an area hospital and 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
REQUIREMENTS:

-Associates Degree
-Knowledge of State Medicaid (EMA, SOBRA KidsCare, etc) 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


PREFERRED:

-Bilingual (Spanish)
-Bachelor's Degree, preferably in Nursing or Social Work
-Prior experience in a healthcare environment
-Previous experience working for Social Security Administration (SSA) or Arizona Health Care Cost Containment System (AHCCCS)