Eligibility Specialist - Medicaid Eligibility

Company: UNC Health Care Systems
Location: Raleigh
Posted on: June 12, 2021

Job Description:

Description

Become part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

Performs technical work in obtaining Medicaid/Social Security (SSI) insurance coverage for indigent patients to expedite reimbursement for medical services. Positions take the patient through the entire Medicaid application process from application to award or denial. Positions have authority to represent the Health Care System at each of the four levels of appeals when applications are denied.

Responsibilities:

1. Obtains detailed personal, financial and asset information to determine if patient qualifies for one of ten Medicaid/SSI programs. Completes or assists the patient with completion of Medicaid application. Explains the programs and advises patients of methods to become eligible by rearranging finances and assets. Follows through with applicants to obtain accurate and complete information within strict timeframes. Positions must have substantive knowledge of various rules and regulations governing the ten Medicaid programs. Interprets and applies frequent changes in program regulations to expedite applications.

2. Reviews denials from Medicaid/SSI and researches denial information with patients. Advocates for patient coverage with local and state Medicaid offices to obtain reversal of initial denial. Abstracts information, prepares appeals and represents UNC Health Care System in appeal hearings at local, state (Division of Medical Assistance), Office of Administrative Hearings, and state court to present supportive evidence for patient?s denial reversal

Other Information

Other information:

Education Requirements:

Associate's degree in an appropriate discipline (or equivalent combination of education, training and experience).

Licensure/Certification Requirements:

No licensure or certification required.

Professional Experience Requirements:

If an Associate's degree: Two (2) years of experience in a social services or healthcare organization.

If a High School diploma or GED: Four (4) years of experience in a social services or healthcare organization.

Knowledge/Skills/and Abilities Requirements:

Analytical, Customer Service, Direct Patient/Family Interaction/ Hospital/Healthcare Experience, Interpersonal, Report Preparation, Strong Written and Verbal Communication skills.

Job Details

Legal Employer:

Entity: Shared Services

Organization Unit:

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Raleigh

Exempt From Overtime: Exempt: Not Applicable

Keywords: UNC Health Care Systems, Raleigh , Eligibility Specialist - Medicaid Eligibility, Other , Raleigh, North Carolina