Description:
Job Title: Entitlements Specialist
Reports to: Admission Director
POSITION SUMMARY: Under the direction and supervision of the Admission Director, the Entitlements Specialist is responsible for completion of Medicaid/Intake applications, follow-up for Human Resources Administration (HRA) applications and Pending Medicaid, SSI/Fair Hearing appointments and Managed Care (HMO) dis-enrollments.
Position Description
A. ENTITLEMENTS:
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Responsible for Medicaid/Intake Applications for new clients and re-application for those clients who have lost Medicaid Benefits. This includes collecting the required documents from the clients needed to complete the application through the NY Health Exchange.
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Provide Entitlements Counseling for all clients of VIP to ensure active benefits, including Eligibility, Restrictions, Spend Down status, Managed Care disenrollment/enrollment, and guidance towards recertification. Determine client eligibility through EPACES for all new admissions.
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Monitor recertified cases for eligibility status and report to Program Directors on a weekly basis.
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Completion of HRA Entitlements package for Level ll Congregate Care (mandated and non-mandated, SSI/SSD recipients).
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Responsible for making HRA interview appointments for all new residential admissions.
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Responsible for delivery of HRA package to the Human Resource Administration within 48 hours of completion.
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Assess client eligibility for Self Pay status if applicable.
B. Participate in Job Trainings and Education Programs, Meetings and Committees as assigned or indicated.
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Attend mandatory in-service trainings as scheduled.
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Attend seminars to further professional development
Requirements:
JOB COMPETENCY:
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Associate Degree or High School Diploma
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Minimum of 3 years experience working in the behavioral health field in the Entitlements Sector.
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CAC/Navigator certification a plus.
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Bilingual English/Spanish Preferred
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Excellent written and oral communication skills.
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Knowledge of computer programs.
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Excellent organizational skills.
