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Job Requirements of Medical Eligibility Representative:
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Employment Type:
Contractor
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Location:
Englewood, CO (Onsite)
Do you meet the requirements for this job?
Medical Eligibility Representative
Position Title: Medical Eligibility Representative
Location: Englewood, CO, 80110
Anticipated Start Date: 02-01-2024
Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.
Expected Duration: 12+ Months (contract to hire position)
Job Type: (40+ HOURS WEEKLY], [CONTRACT], [ONSITE]
Pay Range: $18.00/hr to $20.00/hr
Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).
Job Description:
Summary
The job involves managing incoming mail, working with Medicaid-related documents, and interacting with multiple systems (WES, Maestro).
It also requires handling probate and death lists, as well as phone calls to verify information.
The focus on managing eligibility processes and working with state-specific Medicaid systems suggests a role in Medicaid eligibility management or case coordination.
- Work Incoming Paper Mail for CO, WV, WY - scan to PC, log checks as applicable by Contract
- Work PC for CO, WV and WY
- Work WY Emails
- Work CO Secure email folder
- Maintain WY WES list for cases with personal property only
- Organize and attach WES documents when received from Acentra
- Work WES document weekly meetings with Acentra
- Work CO and WY Probate Lists to narrow down matches and enter event in Maestro
- Work CO death drop(list of all Medicaid recipients who pass away) to verify real property and enter in Maestro
- Make Phone Calls as needed to verify if a referral is a member
- Make return calls on CO Living TEFRA referrals as needed
- CO filing as needed
- ** WES is the Wyoming Client Medicaid Eligibility System - this entails looking up documents that show assets and then saving them down and attaching to Maestro
- Maestro - case management system
- Any experience with reading legal documents or real estate documents is a plus
- Any Medicaid experience is a plus
Benefits:
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
Keywords:
Medicaid Case Assistant/ Medicaid Eligibility Specialist.
About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.
Interested candidates please send resume in Word format Please reference job code 234213 when responding to this ad.