Centers Plan for Healthy Living

  • Benefits Eligibility Coordinator

    Job Locations US-NY-Garden City
    Posted Date 2 months ago(1/14/2019 12:55 PM)
    ID
    2019-1380
    # of Openings
    1
    Category
    Enrollment
  • Overview

    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

     

     

     

     

     

     

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