Top 441 Eligibility specialist Jobs in Philadelphia Pa

Medicaid Eligibility Specialist (PA / Hybrid)
FreedomCare —Philadelphia, PA
- $23 - $25 an hour
- Hybrid work
- Mid-level
- Office
- Home Health
- Health insurance
- Retirement plan
Quick Apply
6d
Enrollment Specialist
PACE —Philadelphia, PA
- $7,500 a month
- Full-time
- Sales
- Mid-level
- Driver's License
- Paid holidays
- Health insurance
Criminal Justice System Specialist 1
Commonwealth of PA —Philadelphia, PA
- $53,008 - $80,646 a year
- Full-time
- Office
- 1 year
- Entry level
- Paid parental leave
- Health insurance
State Adherence Specialist I (PA / Remote)
FreedomCare —Philadelphia, PA
- $23 - $25 an hour
- Remote
- Spanish
- HIPAA
- Research
- Disability insurance
- Health insurance
Quick Apply
6d
Clinical Pharmacy Specialist - Emergency Department
Nemours —Wilmington, DE
- Full-time
- PALS Certification
- 5 years
- BLS Certification
18h
Housing Specialist
ActionAIDS —Philadelphia, PA
- $44,000 - $49,000 a year
- Full-time
- Hybrid work
- Master of Social Work
- Mid-level
- Office
Quick Apply
Dental Billing Specialist
Philadelphia Mills Dental Center —Philadelphia, PA
- Part-time
- Dental office
- Mid-level
- Communication skills
Quick Apply
Manager, SAP S4 Public Cloud Professional Services Automation (PSA)
KPMG —Philadelphia, PA
- $145,350 - $253,230 a year
- Full-time
- Finance
- Bachelor's degree
- Continuous improvement
- Disability insurance
- Health insurance
Surplus Lines Tax Filings Specialist
WAHVE —Philadelphia, PA
- Part-time
- Remote
- Research
- Senior level
- Commercial
- Health insurance
- 401(k)
Financial Services Professional-Fast Track Management
New York Life Insurance Company/NYLIFE Securities, LLC.- Greater Philadelphia General Office (Horsham Location) —Horsham, PA
- $125,000 - $140,000 a year
- Full-time
- Background check
- Sales
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Behavior Specialist - School Based
Zen Educate US —Feasterville-Trevose, PA
- $20 an hour
- Full-time
- Background check
- Classroom
- CPR Certification
- Health insurance
- 401(k)
8d
Bim Specialist
Actalent —Philadelphia, PA
- $36.06 - $55.00 an hour
- Temporary
- Hybrid work
- Research
- Mid-level
- Mentoring
- Commuter assistance
- Health savings account
Quick Apply
11d
Dining Experience Specialist
White Horse Village —Newtown Square, PA
- From $21 an hour
- Part-time
- Hospitality
- ServSafe
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Sales Professional
Mattress Firm —Lansdale, PA
- $44,000 - $54,000 a year
- Full-time
- Ability to lift 50 pounds
- Criminal background check
- US work authorization
- Health insurance
- Dental insurance
Lease Up Intake Specialist
CorTech —Clarksboro, NJ
- $25 - $26 an hour
- Urgently hiring
- Mid-level
- High school diploma or GED
- Apartments
- Dental insurance
- 401(k)
Lease Up Intake Specialist
CorTech —Swedesboro, NJ
- $25 - $26 an hour
- Urgently hiring
- Mid-level
- High school diploma or GED
- Apartments
- Dental insurance
- 401(k)
Certification Specialist
CRM Residential —Philadelphia, PA
- $24 - $26 an hour
- Overtime
- Pass drug screening
- Office
- Residential
County Intellectual Disabilities Program Specialist 1 (Local Government) Delaware County MH/ID
Commonwealth of PA —Drexel Hill, PA
- $60,186 - $71,505 a year
- Urgently hiring
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Work from home
- Opportunities for advancement
9d
Contract Specialist (12 Month Register)
US Defense Logistics Agency —Philadelphia, PA
- $68,013 - $128,221 a year
- Part-time
- Pass drug screening
- Mid-level
- Master's degree
Records Management Specialist
Ardent Eagle Solutions —Philadelphia, PA
- $65,000 - $110,000 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
9h

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Medicaid Eligibility Specialist (PA / Hybrid)

FreedomCare -
Philadelphia, PA

Quick Apply

Job Details

$23 - $25 an hour
6 days ago

Benefits

Health insurance
Retirement plan

Qualifications

Customer communication
Medicaid health insurance
Medicaid regulations
Medicaid

Full Job Description

FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.

We pride ourselves on our values which drive the level of care that we deliver to our patients:

Here For You (An attitude of service, empathy, and availability)
Own It (Drive and ownership)
Do the Right Thing (High integrity)
Be Positive (Great attitude and a can-do positive approach to challenges)

Join our team and make a positive impact on the lives of others! We are looking for a Medicaid Eligibility Specialist for our Pennsylvania Operations Team.

This is a hybrid role that requires a regularly scheduled commute/travel to our main office in Pittsburgh, Philadelphia, and/or the FreedomCare hub closest to you.

Department & Position Overview:

The Medicaid Eligibility Specialist focuses on enhancing the patient's experience by facilitating the approval process, to allow them to receive our service. The Medicaid Specialist responsible for expediting the time it takes for them to enroll into our programs.

The Specialist focuses on maintaining eligibility with current consumers' service by maintaining active Medicaid status through Medicaid recertification and monthly spend down obligations.

The Specialist will be responsible for ensuring compliance with all relevant regulations. The Specialist requires a high level of attention to detail, excellent communication skills, and requires in-depth knowledge and understanding of Medicaid policies, regulations, and procedures.

Every Day You Will:

Medicaid Eligibility

Provide clients with information and guidance on Medicaid eligibility requirements and benefits
Address client inquiries and concerns related to Medicaid applications, renewals, and coverage
Manage alternative resources for clients to meet Medicaid eligibility requirements
Conduct client education sessions on Medicaid programs and benefits
Subject matter expert relative to Pennsylvania Medicaid spenddown requirements through the clients' pre-care & on care status

Medicaid Renewal Processing:

Monitor and manage the Medicaid renewal process for existing clients
Notify clients of upcoming renewal deadlines and assist with the submission of required documentation
Ensure that renewals are processed in a timely manner to avoid lapses in coverage

Documentation and Record Keeping:

Maintain accurate and detailed records of verification processes and outcomes
Update patient records in salesforce to reflect current Medicaid status
Design Medicaid eligibility and spenddown process along with trackability reports in Salesforce

Communication:

Serve as a point of contact for Medicaid inquiries from clients, caregivers, and Health plan partners
Assist clients in understanding Medicaid eligibility, benefits, and application processes
Advocate for clients to ensure they receive appropriate Medicaid services
Respond to inquiries from patients and healthcare providers regarding Medicaid coverage and eligibility

Collaboration and Support:

Work closely with partnering departments to resolve any issues related to Medicaid coverage and recertification
Assist with training staff members on Medicaid verification procedures and policies
Collaborate with partnering departments, case managers, and other healthcare professionals to support patients' access to Medicaid benefits
Identify and resolve issues that may affect clients' Medicaid eligibility or coverage
Work with government agencies and other stakeholders to address and resolve complex Medicaid-related cases

Ideal Candidate Will Possess:

Associate's or Bachelor's degree in Social Work, Healthcare Administration, Public Health, or a related field preferred
Minimum of 2 years of experience in Medicaid, healthcare, or social services
Experience in client support, case management, or benefits coordination
Minimum of 2 years of understanding of the Medicaid eligibility and application process for the state of Pennsylvania
Excellent organizational and time management skills
Proficient in using case management software and other relevant technology
Strong communication and interpersonal skills, with the ability to work effectively with diverse populations
Ability to analyze complex information and make informed decisions

Why work at FreedomCare?

We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.

This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!

At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and do not discriminate based upon race, religion, color, national origin, ancestry, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, status as a protected veteran, status as an individual with a disability, citizenship or immigration status, or other applicable legally protected characteristics.

Quick Apply

Refine Your Search

eligibility specialist jobs in philadelphia pa

Medicaid Eligibility Specialist (PA / Hybrid)

Enrollment Specialist

Criminal Justice System Specialist 1

State Adherence Specialist I (PA / Remote)

Clinical Pharmacy Specialist - Emergency Department

Housing Specialist

Dental Billing Specialist

Manager, SAP S4 Public Cloud Professional Services Automation (PSA)

Surplus Lines Tax Filings Specialist

Financial Services Professional-Fast Track Management

Behavior Specialist - School Based

Bim Specialist

Dining Experience Specialist

Sales Professional

Lease Up Intake Specialist

Lease Up Intake Specialist

Certification Specialist

County Intellectual Disabilities Program Specialist 1 (Local Government) Delaware County MH/ID

Contract Specialist (12 Month Register)

Records Management Specialist

I want to receive the latest job alert for eligibility specialist in philadelphia pa

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