What are the responsibilities and job description for the Divisional Eligibility Support Specialist - East position at Creative Solutions In HealthCare?
Position Summary
The Divisional Eligibility Support Specialist provides expert guidance and hands-on support to facility and regional staff related to Long-Term Care Medicaid Eligibility (MEPD). This role ensures accurate application completion, timely case resolution, and ongoing compliance with state and federal Medicaid regulations. The position requires a strong field presence, collaboration across departments, and a passion for supporting the elderly and handicapped population.
Essential Duties And Responsibilities
Comprehensive Coverage: Health, Dental, and Vision Insurance
Extra Protection: AD&D, Short-Term Disability, Cancer, Critical Illness, and more
Life Insurance: Whole and Term Policies
Professional Growth: Tuition Reimbursement for continued education
Time to Recharge: Paid Time Off
Retirement Planning: Immediate 401(k) eligibility
Unwavering Support: Exceptional corporate resources and leadership
Equal Opportunity Employer
Creative Solutions in Healthcare is proud to be an Equal Opportunity Employer.We are committed to fostering a diverse, inclusive, and respectful work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity, or any other protected status under applicable law.
The Divisional Eligibility Support Specialist provides expert guidance and hands-on support to facility and regional staff related to Long-Term Care Medicaid Eligibility (MEPD). This role ensures accurate application completion, timely case resolution, and ongoing compliance with state and federal Medicaid regulations. The position requires a strong field presence, collaboration across departments, and a passion for supporting the elderly and handicapped population.
Essential Duties And Responsibilities
- Provide guidance and support to facility staff regarding MEPD policies and procedures
- Identify facilities requiring assistance and coordinate efforts to resolve eligibility concerns effectively
- Review and assist with the completion of Medicaid applications, ensuring accuracy and completeness of all documentation
- Maintain consistent communication with facility staff, regional staff, caseworkers, and other stakeholders to support timely case resolution
- Participate in Private Aging calls to identify and address Medicaid and Medicaid Pending-related issues
- Maintain in-field presence a minimum of three (3) weeks per month to provide on-site support and training
- Maintain strict confidentiality and adhere to all state and federal Medicaid regulations
- Complete and submit written reviews of facility visits
- Perform additional duties as assigned
- Minimum of five (5) years of professional experience
- Working knowledge of Long-Term Care Medicaid Eligibility (MEPD)
- Ability to operate a 10-key calculator by touch
- Strong typing skills and general computer proficiency
- Proficient in Microsoft Office Suite, including Excel, Word, and Outlook
- Ability to communicate effectively with residents, the public, and coworkers
- Demonstrated ability to organize, prioritize, and meet deadlines
- Ability to perform all essential job duties and meet physical job requirements
- Genuine caring and interest in serving elderly and handicapped individuals
- Ability to comply with the Patients’ Bill of Rights and Employee Responsibilities
- Ability to comply with all company and departmental safety policies and procedures
- Ability to read and write in English
Comprehensive Coverage: Health, Dental, and Vision Insurance
Extra Protection: AD&D, Short-Term Disability, Cancer, Critical Illness, and more
Life Insurance: Whole and Term Policies
Professional Growth: Tuition Reimbursement for continued education
Time to Recharge: Paid Time Off
Retirement Planning: Immediate 401(k) eligibility
Unwavering Support: Exceptional corporate resources and leadership
Equal Opportunity Employer
Creative Solutions in Healthcare is proud to be an Equal Opportunity Employer.We are committed to fostering a diverse, inclusive, and respectful work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity, or any other protected status under applicable law.