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Medicaid Enrollment Specialist

Family & Children's Services
United States, Oklahoma, Tulsa
Dec 21, 2024
Description

Assist FCS clients with applying, navigating, and understanding Oklahoma Medicaid benefits and its private Contracted Entity managed plans. Function as an agency Medicaid expert and liaison with clients and staff to maximize reimbursement.



  • Determine client eligibility for Medicaid, Medicare, or other applicable insurance.
  • Assist with Medicaid enrollment and re-enrollment.
  • Ensure applications are completed correctly with required supporting materials.
  • Provide unbiased Medicaid insurance information to current and prospective clients regarding the Medicaid Contracted Entity benefits plans aka "SoonerSelect" benefits plans.
  • Handle questions, issues, and provide detailed information on Oklahoma Medicaid eligibility, rules, benefits, and requirements for enrollment or re-enrollment.
  • Documenting client paperwork into the FCS database.
  • Provide outreach to clients to assist with education and comprehension of Medicaid enrollment, re-enrollment, and coverage.
  • Utilize reports to target and assist with updating client insurance information.


Requirements:



  • High school diploma or equivalent
  • Driver's license and satisfactory driving record to navigate to other FCS business sites.


Preferences:



  • Medicaid and insurance experience preferred
  • Mental health experience preferred
  • Bilingual in Spanish and English strongly preferred


Knowledge:



  • Strong computer skills with the Microsoft suite of products.
  • Strong attention to detail and efficiency interacting with online data entry and web based programs

Qualifications
Education
Associates (preferred)
High School (preferred)
Experience
1 years: Mental Health (preferred)
1 years: Experience with Medicaid eligibility and enrollment is strongly preferred. (preferred)
Licenses & Certifications
Drivers License (required)
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
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