Medicaid Eligibility Specialist I (GA / Hybrid)

Overview

FreedomCare is a healthcare company innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We are looking for a Medicaid Eligibility Specialist I for our Georgia team.

This role is remote with potential travel to the FreedomCare hub closest to you.

Department and Position Overview

The Medicaid Eligibility Specialist I focuses on enhancing the patient experience by verifying eligibility for Medicaid benefits, facilitating the approval process, and maintaining eligibility status to allow them to receive our services; expediting the time it takes for them to enroll into our programs. In addition to verifying patient eligibility and facilitating the approval process for Medicaid benefits, this role is responsible for ensuring compliance with all relevant regulations. This role requires a high level of attention to detail, excellent communication skills, and in-depth knowledge and understanding of Medicaid policies, regulations, and procedures.

Every Day You Will

• Verification and Eligibility
• Develop in-depth understanding of FSSA’s programs including benefits, eligibility requirements, and enrollment process through the development of contacts with the State Medicaid agency, identifying online resources, and attendance at relevant Medicaid meetings.
• Serve as the Subject Matter Expert (SME) for all questions related to Medicaid eligibility.
• Verify patient eligibility for Medicaid benefits using various online systems and tools.
• Assist patient with preliminary review of documentation and requirements for application for Medicaid, ensuring all required documentation is complete and accurate.
• Confirm coverage details and determine patient benefits and process based on Medicaid guidelines.