Top 154 Eligibility specialist Jobs in Milwaukee, Wi

Dual Benefits Specialist
Outreach Community Health Centers —Milwaukee, WI
- $53,978.15 - $60,531.70 a year
- Experience working with individuals with disabilities
- Computer literacy
- Writing skills
- Health insurance
Quick Apply
Specialist, IRIS Eligibility Screening (Milwaukee County, WI)
Molina Healthcare —Milwaukee, WI
- $19.84 - $38.69 an hour
- Full-time
- Nursing
- RN License
- Experience working with individuals with disabilities
- Health insurance
Financial Eligibility Specialist
Community Care, Inc. —Milwaukee, WI
- Full-time
- Spanish
- High school diploma or GED
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Customer Service Specialist
City of West Allis —West Allis, WI
- $26.18 - $32.00 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Wellness program
- Health savings account
Graduation Specialist
University of Wisconsin–Milwaukee —Milwaukee, WI
- $48,000 - $52,000 a year
- Online Application
- Remote
- Mid-level
- University
- Bachelor's degree
Clinical Documentation Specialist
Ascension —Shorewood, WI
- $79,511.52 - $110,834.59 a year
- Full-time
- Remote
- RN License
- High school diploma or GED
- Critical & Intensive Care
- Disability insurance
- Health insurance
Leave & Benefits Specialist
Foley & Lardner LLP —Milwaukee, WI
- $77,500 - $108,500 a year
- Full-time
- Hybrid work
- 3 years
- Bachelor's degree
- Senior level
- Paid parental leave
- Disability insurance
Community Outreach Specialist
State of Wisconsin - Ag, Trade & Consumer Protctn —Milwaukee, WI
- $29 - $34 an hour
- Weekends as needed
- 18 years or older
- Public speaking
- Research
- Paid holidays
- Paid time off
10d
Benefits Specialist
Waukesha County, WI —Waukesha, WI
- $27.49 - $38.19 an hour
- Full-time
- Microsoft Outlook
- Customer service
- Adults
- Free parking
- Wellness program
Accounts Receivable Specialist
YMCA —Milwaukee, WI
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Benefits and Leave Administration Specialist
Bell Ambulance Inc —Milwaukee, WI
- $60,000 - $80,000 a year
- Monday to Friday
- HIPAA
- Mid-level
- Office
- Health savings account
- Disability insurance
6d
Clinical Transformation Specialist - Revenue Cycle
Ascension —Glendale, WI
- $79,000 - $110,000 a year
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Associate's degree
- Disability insurance
- Health insurance
Veterans' Services Specialist
Waukesha County, WI —Waukesha, WI
- $24.92 - $34.63 an hour
- Online Application
- Mid-level
- Office
- High school diploma or GED
- Free parking
- Wellness program
Customer Support Specialist
Sprocket Security —Milwaukee, WI
- HIPAA
- Mid-level
- Continuous improvement
- Paid training
- Health insurance
Quick Apply
11d
Intake Specialist
Wellpoint Care Network —Milwaukee, WI
- Online Application
- Vital signs
- Microsoft Outlook
- Medical office experience
Quick Apply
Benefits & Compensation Specialist
Foley & Lardner LLP —Milwaukee, WI
- $77,500 - $119,400 a year
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- 3 years
- Dental insurance
- Retirement plan
2d
Specialist: Seasonal, Part-time
Apple —Glendale, WI
- Part-time
- Entry level
- Employee stock purchase plan
- Health insurance
Payroll Specialist
Walbec Group —Waukesha, WI
- Full-time
- Computer literacy
- Research
- Mid-level
- Profit sharing
- Paid training
Benefits Specialist, Employee & Retiree Experience
Rockwell Automation —Milwaukee, WI
- Full-time
- Hybrid work
- Spanish
- HIPAA
- Research
- Health insurance
- Dental insurance
4d
Environmental Health & Safety Specialist
The Gund Company —Waukesha, WI
- $75,000 a year
- Full-time
- Mid-level
- Continuous improvement
- Organizational skills
- 401(k) matching
Quick Apply
4d

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Dual Benefits Specialist

Outreach Community Health Centers -
Milwaukee, WI

Quick Apply

Job Details

$53,978.15 - $60,531.70 a year

Benefits

Health insurance

Qualifications

Computer operation
Experience working with individuals with disabilities
Computer literacy
Writing skills
Employee relationship building
Medicaid health insurance
Experience working with individuals experiencing homelessness
Driver's License
Medicaid
Technical Proficiency

Full Job Description

JOB PURPOSE AND REPORTING STRUCTURE: Under the direction of the Benefits Manager, the Dual Benefits Specialist will oversee and ensure the Outreach, Enrollment, Data Entry and completion of all Medicaid and Marketplace insurance applications, in accordance with agency policies and procedures. The Dual Benefits Specialist will also use the SOAR model and other best practices to ensure the enrollment, data entry and completion of all assigned Social Security applications as a technical resource to the Community Services Department team, in accordance with agency policies and procedures.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Provide consumers with information and assistance to understand new health insurance options and identify the affordable coverage that best meet their needs. Reach out to also non-ORCHC consumers in the Milwaukee Community. This will be done through regular outreach to other agencies.

Work cooperatively with the ORCHC Primary Care Clinic at 220, four ORCHC sub-contracted clinics, and community sites where the underserved populations tend to congregate.

Utilize a single streamlined application process to determine if each consumer is eligible for Medicaid or the Affordable Insurance Marketplace. Applications can be facilitated either in the office or in the community utilizing a mobile laptop.

Demonstrate and maintain expertise in eligibility and enrollment rules and procedures; the range of qualified health plan options and insurance affordability programs; the needs of underserved and vulnerable populations; and privacy and security standards.

Help individuals understand and access affordability options. Provide information and assistance in a fair, accurate, and impartial manner.

Provide information and assistance in a manner that is culturally and linguistically appropriate to diverse communities and accessible to individuals with disabilities.

Comply with and successfully complete all required and applicable federal and/or state consumer assistance training.

Utilize a database and/or spreadsheet to track all applications/reviews and data. Document all time spent on each case. Keep copies of all applications and correspondence in charts.

Using a holistic approach, assess all clients for other needs and refer to other ORCHC programs, as appropriate. Specific emphasis is put on the need to bring eligible clients to ORCHC.

Maintain technical competency and remain current in technology and changes in the industry. Perform all data entry accurately into the computerized system.

Back up to attend the Outreach and Education meetings through MKEN.

Develop and maintain positive working relationships with clients and other employees of the agency.

Attend all trainings and workshops scheduled as they relate specifically to this project.

Ensure compliance with all safety and work rules and regulations. Ensure the maintenance of departmental housekeeping standards.

Complete the SAMHSA Online SOAR Training in order to assist with Social Security applications and file for reconsiderations using the SOAR (SSI/SSDI, Outreach, Access, and Recovery) Model.

Interpret medical records to determine the client's diagnosis, prognosis, and duration of condition, and how that relates to the client's ability to perform work at a level above Substantial Gainful Activity.

Submit form 3368 (Adult Disability Report) and 16 (SSDI application) online. Provide Social Security with 827 (Release of Information), 8000 (SSI application), and 1696 (Appointment of Representative) forms.

Maintain ongoing communication with SSA Field Office and Disability Determination Bureau.

Collect pertinent medical evidence.

While using the SOAR model, the benefits specialist is expected to submit a Medical Summary Report (MSR) to compliment the SSA required forms. The MSR needs to include clinical observations and diagnostic impressions that are well composed into a standard format.

Maintain technical competency and remain current in technology and changes in the industry. Perform all data entry accurately into the computerized system.

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Individual must have the ability to recognize the medical and psychiatric disabilities of claimants related to the standards established for eligibility for approval of SSI/SSDI.
Solid writing skills, good organizational skills, and solid ability to attend to details.
Interest in Medicaid and other public benefits.
Solid Interpersonal skills.
Computer knowledge

EDUCATION and/or EXPERIENCE: Requires a Bachelor's Degree and/or one to three years of related experience. Must have at least one year of experience working with individuals who have medical, physical and psychosocial conditions and be able to exhibit sensitivity to those with physical or mental disabilities as well as homelessness.

CERTIFICATES, LICENSES, REGISTRATIONS

Requires Certified Application Counselor Certification and SOAR Certification. A valid driver's license and car insurance is also required.

Outreach Community Health Centers, Inc. is an Equal Opportunity Employer

Quick Apply

Refine Your Search

eligibility specialist jobs in milwaukee, wi

Dual Benefits Specialist

Specialist, IRIS Eligibility Screening (Milwaukee County, WI)

Financial Eligibility Specialist

Customer Service Specialist

Graduation Specialist

Clinical Documentation Specialist

Leave & Benefits Specialist

Community Outreach Specialist

Benefits Specialist

Accounts Receivable Specialist

Benefits and Leave Administration Specialist

Clinical Transformation Specialist - Revenue Cycle

Veterans' Services Specialist

Customer Support Specialist

Intake Specialist

Benefits & Compensation Specialist

Specialist: Seasonal, Part-time

Payroll Specialist

Benefits Specialist, Employee & Retiree Experience

Environmental Health & Safety Specialist

I want to receive the latest job alert for eligibility specialist in milwaukee, wi

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