Full-Time

Medicaid Eligibility Specialist

Confirmed live in the last 24 hours

FreedomCare

FreedomCare

501-1,000 employees

Home care services for Medicaid recipients

Healthcare

Compensation Overview

$19 - $24Hourly

Mid

Springfield, MO, USA

Remote position with potential travel for meetings into the FreedomCare hub.

Category
Risk & Compliance
Legal & Compliance
Required Skills
Salesforce
Data Analysis
Requirements
  • Associate 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 Missouri.
  • 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.
Responsibilities
  • 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 Missouri Medicaid spenddown requirements through the clients’ pre-care & on care status.
  • 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.
  • 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.
  • 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.
  • 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.

FreedomCare provides home care services specifically for Medicaid beneficiaries in New York. The company allows clients to hire family members or friends as caregivers, which creates a more personalized and trusted care experience. Clients can choose caregivers from their own circle, including children, relatives, or spouses, ensuring comfort and familiarity in their daily living assistance. FreedomCare's business model is funded by Medicaid, and it facilitates the hiring and payment process for caregivers, ensuring they receive immediate compensation after their shifts. This prompt payment system supports caregivers financially and encourages them to provide quality care. Unlike traditional home care services, FreedomCare focuses on personal connections and flexibility in caregiver selection, aiming to enhance the overall caregiving experience for both clients and caregivers.

Company Stage

N/A

Total Funding

$75K

Headquarters

North New Hyde Park, New York

Founded

2016

Simplify Jobs

Simplify's Take

What believers are saying

  • Growing demand for home care services due to aging population and in-home care preference.
  • Medicaid expansion in various states may increase eligible client pool.
  • Policy shifts towards value-based care align with FreedomCare's personalized care model.

What critics are saying

  • Increased scrutiny on Medicaid-funded programs could lead to tighter regulations and reduced funding.
  • Alternative home care models like telehealth may reduce demand for in-person caregiving.
  • Caregiver burnout may lead to higher turnover rates and workforce stability challenges.

What makes FreedomCare unique

  • FreedomCare allows Medicaid beneficiaries to hire trusted family or friends as caregivers.
  • Immediate payment system provides financial stability and motivation for caregivers.
  • Operates primarily in New York, focusing on personalized care for Medicaid recipients.

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Benefits

Health Insurance

401(k) Retirement Plan

Hybrid Work Options

Wellness Program

Professional Development Budget