Eligibility specialist Jobs in Philadelphia, PA

Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We're the largest consumer-directed home care agency in NY State, and are continually expanding our areas of focus including operations in other states and tech-based innovations.

We pride ourselves on our values which drive the level of care that we deliver to our patients :

• Here For You (An attitude of service, empathy, and availability)
• Own It (Drive and ownership)
• Do the Right Thing (High integrity)
• Be Positive (Great attitude and a can-do positive approach to challenges)

Join our team and make a positive impact on the lives of others! We are looking for a Medicaid Eligibility Specialist for our Pennsylvania Operations Team.

This is a hybrid role that requires a regularly scheduled commute / travel to our main office in Pittsburgh, Philadelphia, and / or the FreedomCare hub closest to you.

Department & Position Overview :

The Medicaid Eligibility Specialist focuses on enhancing the patient's experience by facilitating the approval process, to allow them to receive our service. The Medicaid Specialist responsible for expediting the time it takes for them to enroll into our programs.

The Specialist focuses on maintaining eligibility with current consumers' service by maintaining active Medicaid status through Medicaid recertification and monthly spend down obligations.

The Specialist will be responsible for ensuring compliance with all relevant regulations. The Specialist requires a high level of attention to detail, excellent communication skills, and requires in-depth knowledge and understanding of Medicaid policies, regulations, and procedures.

Every Day You Will : Medicaid Eligibility

Provide clients with information and guidance on Medicaid eligibility requirements and benefits

Medicaid Renewal Processing :

Monitor and manage the Medicaid renewal process for existing clients

Documentation and Record Keeping :

Maintain accurate and detailed records of verification processes and outcomes

Communication :

Serve as a point of contact for Medicaid inquiries from clients, caregivers, and Health plan partners

Collaboration and Support :

Work closely with partnering departments to resolve any issues related to Medicaid coverage and recertification

Ideal Candidate Will Possess :

Why work at FreedomCare?

We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.

This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!

At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and do not discriminate based upon race, religion, color, national origin, ancestry, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, status as a protected veteran, status as an individual with a disability, citizenship or immigration status, or other applicable legally protected characteristics.

INDLV

At FreedomCare, base pay is one part of our total compensation package and is determined within a range. This provides our employees with the opportunity to professionally grow and develop within a role. The base pay range for this role is between $23.00 and $26.00 an hour at the commencement of your first year of employment. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to : skill set, years of relevant experience, education, location, and licensure / certifications.

Salary Range

20-$24 USD