What are the responsibilities and job description for the Non-Medicaid Eligibility Specialist position at Total Care Services, Inc.?
Non Medicaid Eligibility Specialist
Compensation: Base salary $65,000 per year.
Job Type: Full Time
Work Schedule: 8:30am- 5:00pm, Monday through Friday (flexible as needed)
Work Environment: This is a hybrid position - work from your home office* with local community visits. Provided with a laptop, printer, and cell phone.
21 Years of Services – Helping Others Meet Life's Challenges.
High quality healthcare programs, services, and PEOPLE LIKE YOU
- Exceptional Benefits (Medical-Kaiser, Dental and Vision-Mutual of Omaha, PTO, 401K, FSA and company paid Short Term Disability & Life and Accidental Death and Dismemberment and a host of other voluntary benefits to select from)
- At Total Care Services, Inc., a non-profit organization, we offer more than just a chance to make significant impact in our community. As a participant in the Public Service Loan Forgiveness (PSLF), joining our team means you're also eligible to apply for loan forgiveness, empowering you to serve with financial peace of mind.
Total Care Services, Inc. (TCS) is seeking dedicated and compassionate individuals to join our team as a Non-Medicaid Eligibility Specialist for our Coordinator of Community Services Program (CCS). As a Non-Medicaid Eligibility Specialist, you will play a crucial role in supporting individuals who are not Medicaid-eligible or who have lost eligibility, with the goal of securing or reinstating coverage needed for participation in DDA Waiver programs.
As a Non-Medicaid Eligibility Specialist, you will:
- Meet daily productivity standards of 30 billable units or spend 93.75% of contracted hours completing productivity tasks.
- Assist individuals with Medicaid applications, renewals, and reinstatements.
- Conduct follow-up on financial eligibility and required documentation.
- Maintain regular communication with DDA and EDD regarding waiver and eligibility status.
- Support re-enrollment for individuals returning from long-term care or forensic settings.
- Track Transitioning Youth (TY) funding, timelines, and initial PCP completion.
- Coordinate with CCS and the Waiver Department Manager to support TY transitions.
- Review LTSS updates weekly and maintain accurate eligibility records.
- Manage a caseload of individuals who are non-Medicaid or pending eligibility.
- Document all activities in LTSS and ensure compliance with DDA standards.
- Complete EVS checks, review AO2 items, participate in required trainings, and conduct in-person visits as needed.
Qualifications:
- Master's degree or bachelor's degree in human services, such as Psychology, Social Work, Sociology, Child Development, Counseling, Special Edu, etc.
- Minimum of 21 years of age.
- Must be a licensed driver and have own transportation with valid insurance.
- Must be able to drive to and from meetings throughout the state of Maryland.
- Must be a U.S. citizen or alien who is lawfully authorized to work in the United States.
- Must be able to work a flex schedule.
- Must have computer skills and know how to perform tasks utilizing Microsoft Word, MS Excel, and/or MS Access.
- Must have excellent oral and written communication skills.
- Must have excellent analytical skills and possess the ability to perform statistical analysis of aggregate data.
Total Care Services, Inc does not permit dual employment. Dual employment is defined as outside employment with another entity in which responsibilities require fulfillment during the same hours as the employee's responsibilities to Total Care Services, Inc. If I become employed at Total Care Services, Inc., I understand and acknowledge that I may not start or maintain outside employment now or in the future, with another entity in which responsibilities require fulfillment during the same hours that I am fulfilling my Total Care Services, Inc. responsibilities.
Benefits:
- 401K
- Dental Insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Loan forgiveness
- Paid time off
- Professional development assistance
- Referral program
- Retirement plan
- Vision insurance
Total care Services, Inc. is committed to equal employment opportunity and to compliance with federal, state, and local laws governing non-discrimination. Total Care Services, Inc. is proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.
Job Type: Full-time
Pay: $65,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Work Location: On the road
Salary : $65,000