Centers Plan for Healthy Living

Benefits Eligibility Coordinator

US-NY-Staten Island
3 months ago
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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