Centers Plan for Healthy Living

  • Benefits Eligibility Coordinator

    Job Locations US-NY-Garden City
    Posted Date 10 months ago(8/28/2017 12:54 PM)
    ID
    2017-1222
    # of Openings
    1
    Category
    Enrollment
  • Overview

     

     

    New CPHL Logo

     

     

    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.

    Responsibilities

    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

     

    Qualifications

    Knowledge and Skills:

    Required: 

    ·         Ability to work well with multiple companies and individual personalities, as well as frail elderly individuals and their families.

    ·         Strong telecommunication skills

    Preferred:  

    ·         Work experience in Medicare/Medicaid-related field

    ·         Proficient  use of Excel

     

    Education and Skills

    HS Diploma required, college education preferred

    Computer proficiency

     

     

    SCOPE INFORMATION

    # Direct Reports:                1

     

     

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