Eligibility Specialist Job at Caregiver, Inc.

Caregiver, Inc. Fort Worth, TX

The Eligibility Specialist coordinates SSA/SSI payments and maintains active Medicaid benefits for individuals with intellectual and developmental disabilities.

Essential Functions and Responsibilities

  • Monitors individual enrollments to assure that the proper agencies, Social Security, HHSC, and VA have been notified and all applications are complete for benefits.
  • Monitor and process Tracking Report to ensure all proper moves are reported to SSA and HHSC as needed.
  • Assists in monitoring trust fund accounts to assure appropriate balances are within resource guidelines.
  • Responds to inquiries from Area office locations regarding current issues for Individual’s Medicaid and/or Social Security benefits.
  • Provide excellent customer service to Area personnel to always ensure open communication.
  • Works with SSA and HHCS to establish and maintain Medicaid and SSI benefits, reports wages to SSA for individuals we serve.
  • Completes reports, reviews, etc. received from SSA and HHCS for all individuals to maintain eligibility.
  • Monitors denied claims list, follows up with HHSC and SSA on all open cases, and update denied claim notes.
  • Scan and electronically save all work submitted and/or received from SSA or HHSC.
  • Perform all other duties as assigned by management.

Education and/or Experience

  • High School graduate or equivalent required.
  • Minimum of two (2) years verifying individual benefits; governmental office experience preferred.
  • One year of healthcare experience preferred.

Knowledge and Skills

  • Excellent communication skills
  • Ability to work in a professional environment
  • Ability to handle multiple tasks efficiently and effectively
  • Proficient in office equipment operation including fax, copier.
  • Proficient in Microsoft Outlook
  • Typing 40 WPM
  • Ten-key by touch
  • Proficient in Microsoft Word, Excel, Access

Job Type: Full-time

Pay: $18.00 - $19.50 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Work setting:

  • Office

Ability to commute/relocate:

  • Fort Worth, TX: Reliably commute or planning to relocate before starting work (Required)

Education:

  • High school or equivalent (Required)

Experience:

  • Benefits Verification: 2 years (Required)
  • healthcare: 1 year (Required)

Work Location: One location




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