Patient liaison Jobs in Cleveland, OH

Medicaid Liaison

Job Locations US-OH-Cleveland

of Openings

Salary Range

C (See Description Below)

Min Salary

USD $47,000.00 / Yr.

Category

Medicaid and Data Analytics

Specific Facility

William Patrick Day Services Center

Position Reports To

Medicaid Services Administrator

Work Schedule

Full-time : 7.5 hours per day / Year Round

Overview

The Cuyahoga County Board of Developmental Disabilities (Cuyahoga DD) is seeking a Liaison to expedite the process of establishing Medicaid eligibility in order to enroll individuals in Home and Community-Based Services (HCBS) waivers; assists with maintenance of Medicaid eligibility through Medicaid and HCBS redetermination processes. The nature of work will include but is not limited to the following :

Maintain daily communication and consultation with the Specialized Medicaid Benefits Center (SMBC) staff, Community Medicaid Caseworkers, and Support Administrators regarding scheduled appointments, required verifications to complete eligibility, and results of initial and renewals interviews for waiver applicants / enrollees.

• Respond to a high volume of phone calls and emails from Cuyahoga DD and SMBC staff, walk-ins from providers, payees, and individuals / guardians regarding Medicaid eligibility, scheduled or missed interview appointments with SMBC, Medicaid verification, and other concerns for recommendation or resolution.
• Coordinate and collect applicable forms for initial Medicaid enrollment, SNAP benefit, and renewals from Cuyahoga DD staff, individuals / guardians, payees, and providers to submit to SMBC. Review applications and communicate with Cuyahoga DD staff regarding errors and required corrections for Medicaid enrollment.
• Act as Authorized Representative for Cuyahoga DD on behalf of individuals needing this service. On behalf of services include : receiving and processing JFS and ODM notices, gathering additional required verifications to complete initial and renewal packets, maintaining a log to track case specific communication, scanning submitted verifications to SMBC into OnBase, and attending interviews and Medicaid hearings.
• Work closely with SMBC to problem solve and resolve data discrepancies, PLOMS, billing, and level of care issues. Expedite pending Medicaid eligibility for waiver applicants and communicate as necessary with Cuyahoga DD staff.
• Use read-only access to Medicaid Programs (e.g. AEFMI and MITS) to verify eligibility for individuals on Medicaid, Social Security, Medicare, and other active Medicaid Benefits (e.g. HCBS, OHCW, RSS, SNAP, and Passport). Review documents and respond to general questions related to Social Security and Medicare benefits.
• Provide technical assistance to CMS staff, individuals, and authorized representatives regarding Medicaid documents and billing issues. Analyze MITS information to diagnose and resolve billing issues for individuals on waivers or in Intermediate Care Facilities.
• Maintain a high volume of data in Cuyahoga DD's OnBase and Gatekeeper software packages pertaining to Medicaid enrollment. Report and verify changes in demographic, employment wages, and county to county transfers to SMBC / CDJFS to maintain benefits.
• Attend meetings as needed with Cuyahoga DD staff, providers, payees, and individuals / guardians at Cuyahoga DD, SMBC, or CDJFS offices.
• Perform Medicaid Administrative Claiming (MAC) activities that are applicable to this position, and are required by Waiver rules, policies and procedures. Position functions will be 100% MAC billable in a manner consistent with requirements of DODD and ODM.

PERSONAL CONTACT : Frequent personal contact, telephone calls and written communications with Cuyahoga DD staff, individuals, families, community agencies and other state / county agencies.

BENEFITS : The Cuyahoga County Board of DD is a mission-driven organization. Attracting, retaining, and developing great talent is fundamental to achieving the Board's mission. We are committed to equal opportunity in all aspects of employment, including the way we compensate our employees. Our Employee Value Proposition (EVP) includes not only pay, but non-cash compensation such as extensive paid time off, flexible work schedules, some remote work opportunities, outstanding healthcare benefits as well as free dental, vision, and life insurance. We also have a fantastic pension plan through the Ohio Public Employees Retirement System. If that wasn't enough, you will have the opportunity to work in an outstanding work environment as part of a multidisciplinary group of professionals.

If you would like a much more comprehensive look at the benefits package, click HERE to download a pdf with more detailed information.

The Cuyahoga DD recruits and retains outstanding individuals who are committed to our mission of supporting and empowering people with developmental disabilities to live, learn, work and play in the community. We seek to attract diverse staff who desire to inspire, to promote abilities and talents, to foster inclusion in all aspects of community life, and to hold themselves and others to high expectations. We hope you choose to join our team!

Remote Work : Our positions are not 100% remote. There is an onsite expectation for all of our positions. Although we do permit some remote work at home, we do expect staff to be able to commute to our facilities in Cuyahoga County, Ohio on a regular basis. All positions come with the expectation that the employee will work onsite at an assigned facility in Cuyahoga County some days each week as directed.

Qualifications

Application Deadline : Open until filled.

Application Procedure :

Equal Opportunity, Diversity, and Inclusion : The Cuyahoga County Board of DD is committed to treating every individual, family, employee, and applicant with dignity, respect and compassion regardless of a person's sex, ancestry, national original, race, color, age, religion, disability, military or veteran status, sexual orientation, gender identity / gender expression, genetic information, or social, economic or political affiliation.

Compassion, trust, and mutual respect are at the core of our commitment to diversity and inclusion. The Cuyahoga County Board of DD fosters and promotes an inclusive environment that leverages the unique contributions of diverse individuals and organizations in all aspects of our work. We know that by bringing diverse individuals and viewpoints together we can collectively and more effectively create opportunities for a better life for the individuals we support. Diversity and inclusion are at the heart of what it means for people with developmental disabilities to live, learn, work, and play in the community.

PRIVACY AND SECURITY NOTICE : By applying for positions with the Cuyahoga County Board of Developmental Disabilities you are accepting that you have reviewed and understand our Applicant Privacy and Security Notice provided by clicking HERE.

Cuyahoga DD is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

If you are a person with a disability or are unable to use or access this site as a result of your disability, you may request a reasonable accommodation by calling 216-241-8230.