JASA ยท 9 hours ago
Benefits & Entitlement Associate- Community Guardian Program
New York, NY
Full-time
Onsite
New Grad, Entry LevelJASA is an organization focused on providing community services, and they are seeking a Benefits and Entitlement Associate for their Community Guardian Program. The role involves managing the Medicaid eligibility and benefits process for clients, ensuring compliance with financial and legal requirements, and coordinating with various stakeholders to support clients' needs.
Financial ServicesVenture Capital
Responsibilities
Conduct financial interviews and obtain all required authorizations and documentation for Medicaid applications
Processes all initial applications for benefits and entitlements in a timely manner
Participate in relevant training and seminars to stay informed about current trends and changes within the benefits/entitlements system
Prepare, file, and track Medicaid, Medicare Premium applications, and annual recertifications
Communicate and follow up with CGP and DSS caseworkers; complete budget corrections when needed with CGP case workers
Escort clients to various government and city agencies (Social Security Administration, HRA-Public Assistance, Medicaid and Food Stamp offices)
File and attend Medicaid fair hearings when necessary
Educate CGP caseworkers on income obligations, payer requirements, and signature needs
Monitor new developments and remain abreast of public policy issues relevant to changes in client benefits and entitlements
Participate in CGP Interdisciplinary Team meetings to support care planning and discharge needs
Qualification
Required
An undergraduate degree in business, social work, social or human services, or a related field
Strong organizational and documentation abilities
Working knowledge of Medicaid eligibility rules, including income/resource limits, spend-down rules, allowable and non-allowable asset transfers, and documentation requirements
Familiarity with Medicaid and other entitlement applications, recertifications, notices, and workflows used by HRA and NYS county DSS offices
Understanding of payer sources used in long-term care, including Medicare, MLTC, MMC, private insurance, and HMOs
Basic familiarity with guardianship, and representative authority and their relevance to Medicaid applications
Ability to interpret financial notices, verification requests, and budget calculations issued by DSS/HRA
Understanding of fair hearing processes, including filing, preparation, and support
Prior experience in Medicaid, benefits coordination, or long-term care eligibility required
Computer proficiency, including case management systems
Strong written and verbal communication skills
Ability to interact with families, colleagues, and external partners professionally and courteously
Commitment to equity, inclusion, and cultural competence when serving diverse older adult populations
Preferred
Experience in long-term care strongly preferred
Company
JASA
JASA is the go-to non-profit serving older New Yorkers.
Founded in 1968
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Kathryn Haslanger
CEO
Matthew LoCurto, CPA
Chief Financial Officer
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