Benefits Eligibility Coordinator Job at Centers Plan for Healthy Living
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.
JOB SUMMARY:
This position tracks and maintains members Medicaid/Medicare coverage within the various CPHL lines of business by productive communication with members, assigned vendors engaged by CPHL, state and city contacts and inter-departmental communication within CPHL to successfully sustain members appropriate coverage.
PRIMARY RESPONSIBILITIES:
Required:
# Direct Reports: 1
Centers Plan For Healthy Living is committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our employees and our business. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law and will not be denied employment.
Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
JOB SUMMARY:
This position tracks and maintains members Medicaid/Medicare coverage within the various CPHL lines of business by productive communication with members, assigned vendors engaged by CPHL, state and city contacts and inter-departmental communication within CPHL to successfully sustain members appropriate coverage.
PRIMARY RESPONSIBILITIES:
- Up-to-date knowledge of the guidelines and regulations that affect members eligibility and coverage.
- Effective and professional communication with various entities both internal and external ensuring members renewal of coverage
- Track and monitor Medicaid vendors engaged by CPHL
- Ensure processing of conversions from community Medicaid to nursing home Medicaid
- Identifying and correcting eligibility issues for prospective enrollees thus ensuring approval of the enrollment transaction by the State.
- Complies with all CPHL standards for documentation
- Completes assigned tasks accurately following all workflows
- Other duties and responsibilities as needed
Required:
- Ability to work well with multiple companies and individual personalities, as well as frail elderly individuals and their families.
- Strong telecommunication skills
- Work experience in Medicare/Medicaid-related field
- Proficient use of Excel
- HS Diploma required; college education preferred
- Computer proficiency
# Direct Reports: 1
Centers Plan For Healthy Living is committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our employees and our business. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law and will not be denied employment.
Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.