Eligibility & Financial Redetermination Rep jobs in United States
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InnovAge · 19 hours ago

Eligibility & Financial Redetermination Rep

InnovAge is dedicated to empowering seniors to live independently, and they are seeking an Eligibility & Financial Redetermination Representative to assist participants and their families in the Medicaid redetermination process. The role involves completing necessary paperwork, communicating policies, and ensuring timely redeterminations for participants.

Health CareHome Health CarePersonal Health
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H1B Sponsor Likelynote

Responsibilities

Completes all re-determinations for InnovAge PACE participants assigned 30 days before case due date. Monitors the Medicaid aging report and works to clear aged items in a timely manner
Communicates the policies and procedures of Long Term Medicaid, Spousal Impoverishment, and Trusts to participants in a way that is easily understood by participants, families and caregiver(s)
Performs home visits and/or Day Center visits to complete all Medicaid redeterminations within required time frames in a manner that is most convenient and efficient for the participant
Assists participants, families and caretaker(s) in completing necessary paperwork needed for Medicaid re-determination including collaborating with county government technicians to assess additional documentation needed
Documents work and outcomes in the Participant Tracking System Record of Contact Notes and in the department tracking model
Organizes case load and working area in an efficient manner that allows information to be accessed when not available
Completes disenrollment forms for HMO’s and forward to supervisor in a timely manner
Processes participant/Intake/social worker housing forms and completes new supporting housing forms for all RV’s if there is a differential in income

Qualification

Medicaid knowledgeCommunity resources knowledgeBi-lingualHigh School diploma

Required

Current knowledge of the Medicaid system/benefits in addition to community resources that are available to seniors and their families
High School diploma or GED required
Requires a valid state issued driver's license, personal transportation, good driving record and auto insurance as required by law

Preferred

Bi-lingual

Benefits

Medical/dental/vision insurance
Short and long-term disability
Life insurance and AD&D
Supplemental life insurance
Flexible spending accounts
401(k) savings
Paid time off
Company-paid holidays

Company

InnovAge

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InnovAge mission is to enable seniors to age independently in their own homes for as long as possible.

H1B Sponsorship

InnovAge has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)

Funding

Current Stage
Public Company
Total Funding
unknown
2021-03-03IPO
2016-05-16Acquired

Leadership Team

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Patrick Blair
President & CEO
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Benjamin C. Adams
Chief Financial Officer
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Company data provided by crunchbase