Take2 Consulting, LLC · 7 hours ago
Case Manager Assistant ($17/hr)
Take2 Consulting, LLC is seeking a Case Manager Assistant to provide enrollment assistance and guidance to Medicaid-eligible recipients and their families. The role involves verifying health coverage, maintaining case files, processing premium payments, and responding to inquiries regarding eligibility and coverage.
ConsultingLegalManagement Consulting
Responsibilities
Provide enrollment assistance and guidance to Medicaid-eligible recipients and their families regarding the HIPP / Premium Assistance program via phone or correspondence
Verify, document, and investigate existing health coverage for Medicaid recipients and their dependents (employer plans, COBRA, etc.)
Assist in identifying members who may qualify for HIPP / Premium Assistance
Obtain and verify documents required for eligibility: insurance policies, employment verification, premium invoices, etc
Maintain active case files during open enrollment cycles, premium review, and payment processing
Process, review, and follow up on premium payments / reimbursements, ensuring timely and accurate payments, and tracking any discrepancies
Perform ongoing case maintenance and audits, updating records for status changes, renewals, terminations, or escalations
Complete periodic reporting (e.g. case metrics, enrollment trends, audit reports) as required by state or internal stakeholders
Respond to high volumes of inbound and outbound calls and inquiries about eligibility, coverage, program rules, and status
Conduct advanced document review, legal research or case escalation as needed, particularly on more complex cases
Prioritize case events, manage deadlines, escalate issues to supervisors or subject matter experts when appropriate
Qualification
Required
Substantial customer service experience
Ability to multi-task in a fast-paced environment
Basic knowledge of health insurance and health insurance terminology
Excel Microsoft knowledge
Preferred
Some college is desirable
A bachelor's would be nice but not required