Job Title: Waiver Medicaid Eligibility Specialist
Reports to: Waiver Program Manager
Hours worked per week: Monday - Thursday 9 a.m. - 3:30 p.m.
Supervisory Responsibilities: No
FLSA Status: Part time, Non-Exempt
All work is completed onsite in office setting.
Purpose of Position:
This position is responsible for completing Medicaid applications and Medicaid re-determinations for new and existing participants of the MI Choice Waiver program.
This is not a billing or coding position.
Duties and Responsibilities:
- Facilitate successful interactions with participants, family members, MDHHS, financial institutions, and internal customers.
- Actively assists applicants of the MI Choice Waiver program in obtaining long term care Medicaid.
- Proactively supports successful redeterminations of long-term Medicaid status for MI Choice Waiver participants.
- Works with Michigan Department of Health and Human Services to report, monitor and resolve issues with Medicaid eligibility, applications, and redeterminations.
- Notifies appropriate colleagues of potential participant coding issues in Champs system.
- Supports internal team members with Medicaid questions.
- Maintains tracking records as well as documentation in Compass (electronic medical record) for those individuals’ seeking assistance with Medicaid application or Medicaid redetermination.
Education/Experience:
- Associate degree or equivalent from two-year college or technical school; one-year related experience and/or training.
- Prior experience working with Medicaid preferred.
- Prior human services experience.
- Experience working with older adults and adults with disabilities and caregivers.
- Proficient in Outlook/Excel preferred.
- Clear understanding of HIPPA Compliance regulations preferred.
Compensation amp; Benefits
- Non - Exempt position with starting wage of $20.50 - 23.43, which will be adjusted for experience.
- Benefits packages include:
- 403b retirement plan with matching
- Employee assistance programs (EAP)
Who is Milestone Senior Services?
Our mission is to provide options that empower people to thrive in their community.
Core Values: Collaboration, Dedication, Resourcefulness, Inclusivity, and Integrity.
Milestone Senior Services (formerly Senior Services, Inc.) has been delivering to the Kalamazoo and surrounding communities for over 50 years. We encompass over 20 services that support the independence and well-being of older adults, adults with disabilities and caregivers throughout Southwest Michigan. We are dedicated to working in a collaborative manner with individuals in need, family members, and all others that support those we serve to live a healthy, meaningful, and productive life.
Why join Milestone Senior Services?
As a team member you will have the opportunity to work with mission driven co-workers within an environment that values their team members and creates great work/life balance. Milestone Senior Services embraces the belief that cultural, social, and all other differences should be respected and celebrated. Benefit eligible team members enjoy a well-rounded benefits package that includes 20 days of PTO in the first year of employment, 9 paid holidays + 1 Floating Holiday, 403b plan matching, and other employee-based assistance programs!
Additional Information
Milestone Senior Services is a drug-free, tobacco-free workplace and participates in E-Verify. All applicants will undergo a reference check, pre-employment drug testing, and a State of Michigan background check. Milestone Senior Services is an equal opportunity employer and welcomes a diverse field of qualified candidates.