Medicaid Eligibility Specialists
Company: All-Pro Placement Service, Inc.
Location: Baltimore
Posted on: May 4, 2025
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Job Description:
Daily Job Functions & Responsibilities:
If you want to know about the requirements for this role, read on
for all the relevant information.
Provide Medicaid eligibility determination services for MAGI and
Non-MAGI population under the direction of MDH, Office of
Eligibility Services, Eligibility Determination Division.Receive
and process documents received from MAGI and Non-MAGI applicants
and recipients of Medicaid. Information received from the MAGI and
Non-MAGI population will also be scanned or data-entered, as
appropriate.
Use State automated eligibility and enrollment systems, including
Maryland Health Connection, E&E, MMIS, EVS, LTSSMaryland,
Beacon, SVES, SAVE, as well as internal and web-based databases and
document management and retrieval systems and any such successors
to those systems in operation during the term of the Contract, to
track and verify applicant and recipient eligibility and
enrollment.
Review and determine eligibility for all MAGI and Non-MAGI
applications, renewals, and interim changes as directed by the
Contract Monitor.
Review and correct Certified Turnaround Document (CTAD) errors for
all Maryland jurisdictions. CTADs are front-end errors generated
when eligibility transactions transmitted to MMIS fail to
process.
Request required verifications, including citizenship and identity,
as necessary to determine eligibility for MAGI and Non-MAGI
Medicaid applications, renewals and interim changes.
Adhere to the productivity standards by task as directed by the
Contract Monitor, which will be general processing standards and
not system-specific.
Required Qualifications:
Education
Graduated from an accredited high school or possess a high school
equivalency certificate.
Experience
A. A minimum of two (2) years of clerical experience applying
policies in a medical care, health insurance, or federal or state
entitlement program within the past five years.
B. A minimum of two (2) years of experience working in an office or
customer service environment accurately reviewing documents and
updating data systems.
C. Basic knowledge of computer software, knowledge of Google Suite
and Microsoft Suite.
D. College credits from an accredited college or university may be
substituted for the required experience at the rate of 30 credit
hours for one year of experience.
E. Ability to navigate State data systems.
F. Ability to adapt to learning quickly, adapt to policy
modifications and follow directions.
Keywords: All-Pro Placement Service, Inc., Dundalk , Medicaid Eligibility Specialists, Other , Baltimore, Maryland
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