ABOUT US

Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources.

Position Summary

The primary focus is to maintain current enrollee eligibility while avoiding gaps in Medicaid coverage. This position works closely with case management to timely provide updated case information to DCF, to assure Medicaid eligibility for the SMMC Ling Term plus members.

Essential Functions

1. Responsible for sending and tracking communications for Medicaid Recertification to enrollees. This includes following up with submitted recertifications and submissions to DCF.
2. Complete submission of Medicaid renewals online, if not timely completed by enrollee or designated representative.
3. Ensure punctual review of Notice of Action letters for enrollees to include obtaining any requested documents.
4. Continual communication and follow up with case management team in preparation of obtaining document request from DCF to maintain eligibility.
5. Assist enrollee or designated representative in completion of Medicaid application, recertifications or applicable assistance program.
6. Monitor and advise case management of any returned mail received from enrollee, in order to assure accurate demographic data.
7. Provide enrollees and designated representatives with information on re-certification dates and or benefit related questions.
8. Other non -essential duties assigned.

Education and Experience

• High School Diploma, associate degree in health care related field preferred. 

• Knowledge of or prior experience with Access Florida and FMMIS is preferred.

Required Skills

• Basic computer skills including data entry, MS Word, and Excel.
• Ability to manage multiple priorities.
• Ability to respond to common inquiries or complaints from members and their representatives.
• Strong oral and written communication skills, bilingual preferred.

EEO STATEMENT 

In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace. Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.