Eligibility specialist Jobs in Fort Worth, TX

D&S Community Services , a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived.

Program Administration Eligibility Specialist (PART TIME)

Location : Austin, TX (in office)

Hourly Rate : $20 / hr

Schedule : Monday through Friday 1PM-5pm

Your Role

• Assists the office with our Eligibility and Social Security mail. This role will also assist with additional ad hoc duties such as logging mail on Smartsheets, scanning, etc.
• Monitors upcoming financial eligibility renewal dates weekly via state portal, available reporting (internal or external), and / or paper mail and communicates to program staff on individuals with eligibility about to expire
• Enters individual financial eligibility data into system(s)  weekly to assist in accurate reporting and timely billing of services provided by local staff
• Maintains files with eligibility information by client
• Where Sevita is representative payee, assembles, completes, and submits applications, appeals, or other forms related to financial eligibility, partnering with field and other functional teams as needed for necessary documentation
• Researches complex eligibility issues via payer website or by phone. Communicates directly with state / payer / other external partners where needed to resolve outstanding issues or follow-up on eligibility status
• Communicates with program staff alerting local field or functional teams of potential blockers, escalations, etc. preventing financial eligibility from processing timely
• Reviews AR Aging and works with AR team members, functional partners, or local office staff on resolution of eligibility-related billing.  Prepares supporting documentation for eligibility related sales adjustments (gap in coverage)
• Where Sevita is not representative payee, supports field with escalation questions as subject matter expert on state expectations and timing
• Performs other related duties and activities as required

Qualifications

Why Join Us

We have meaningful work for you – come join our team – apply today!

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.

We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.