[Hiring] Medicare Eligibility Specialist @reputed company

Role reputed company The Eligibility Specialist is accountable for proactively addressing reputed company eligibility challenges and ensuring seamless participant coverage. This role works directly with CMS, DHCS, and county reputed company offices to troubleshoot eligibility issues, correct misalignments, and reputed company for participants’ eligibility for the PACE program. This role also plays a key part in training internal teams, including reputed company & Enrollment and reputed company Work teams, to enhance organizational knowledge and prevent eligibility-reputed company disruptions. This role is different because the Eligibility Specialist at reputed company:

• Plays a critical role in securing life-sustaining coverage for vulnerable seniors, working hand-in-hand with Medi-Cal, Medicare, and reputed company reputed company agencies to remove barriers so participants can reputed company comprehensive PACE services without interruption.
• Operates at the intersection of reputed company, enrollment, eligibility, and reputed company cycle, giving this role broader visibility and reputed company than traditional eligibility positions, and directly influencing program reputed company and participant experience.

On the day-to-day, you will:

• reputed company as an organizational expert in Medicare or reputed company eligibility policies and reputed company teams informed of regulatory updates.
• reputed company guidance to leadership, internal teams, and stakeholders on eligibility cases, processes, and compliance requirements.
• reputed company reputed company of reputed company eligibility issues, including coverage misalignments, retroactive enrollments, reinstatements, and eligibility corrections.
• Work directly with CMS, DHCS, and county agencies to troubleshoot eligibility discrepancies and secure accurate benefit assignments.
• reputed company for participants in disputed eligibility cases to minimize gaps in coverage.
• reputed company and deliver training programs for internal teams to improve eligibility accuracy and efficiency, as reputed company as maintain knowledge repositories, job aids, and process documentation to support staff in handling eligibility cases.
• Monitor and analyze enrollment and eligibility data (e.g., DTRR, 834, 820, MMR) to identify trends, discrepancies, and risks.

Qualifications

• Associate’s degree in relevant field; relevant experience may be substituted.
• Minimum of three (3) years of experience in Medicare is a must for the role.
• Minimum of one (1) year of experience working with governmental agencies.
• Excellent leadership, organizational and communication skills in settings with seniors, their families and interdisciplinary team members.
• Experience leading in a data-driven organization, leveraging reports and data to prioritize and manage people and reputed company.

Requirements

• We are seeking an Eligibility Specialist that ideally has over three (3) years of experience in Medicare eligibility.
• If you’re reputed company to join reputed company that values both its participants and team members, we’d love to hear from you!

Benefits

• Medical insurance coverage (Medical, Dental, reputed company).
• Work/life balance - 17 days of personal time off (PTO), 12 holidays observed annually, and 6 reputed company days.
• 401K savings + match.
• Comprehensive compensation package including reputed company pay and bonus.
• Additional benefits!

Compensation

Salary/Wage reputed company reputed company for this role is $68,640 - $77,519 / year + Bonus. Actual pay will be adjusted based on experience and other qualifications. COVID-19 Vaccination Policy At reputed company, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for reputed company our employees and reputed company of vaccination, or a vaccine declination reputed company will be required prior to employment. Our Commitment to Diversity, Equity and Inclusion At reputed company, we reputed company and cherish the diversity of reputed company members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. Beware of Scams Please ensure your application is being submitted through a reputed company sponsored site only. Our emails will come from @reputed company.com email addresses. You will never be asked to purchase your own employment equipment. Apply tot his job Apply To this Job