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Case Manager-Medicaid Enrollment Specialist - Tulsa Oklahoma
Company: Family & Children's Services Location: Tulsa, Oklahoma
Posted On: 04/25/2024
DescriptionServe as an advocate for F&CS clients and the community to assist clients with the information needed to access health insurance made available through the state Medicaid program or other applicable insurances. Responsible for assisting clients with insurance applications, handling or collecting related documentation, demographics and other relevant information, entering data and/or information collected into EHR, and providing excellent customer service. DUTIES & RESPONSIBILITIES: - Determine client eligibility for Medicaid, Medicare, or other applicable insurance programs.
- Provide information, application assistance, and enrollment assistance in a timely manner, to any clients seeking healthcare coverage.
- Handle questions, issues and provide detailed information on requirements, processes, and policies.
- Collect information regarding eligible clients for programs and services.
- Ensure that applications are completed correctly and that the required supporting materials have been provided.
- Entering, updating and reviewing data and records.
- Providing guidance and recommendations to applicants and prospective candidates.
- Corresponding with applicants and prospective candidates.
- Processing enrollments and dis-enrollments.
- Conducting information sessions.
- Record all demographic information for clients into the EHR and/or web based application.
- Secure necessary documentation to enroll clients in the applicable insurance program(s) (i.e. Authorization & Releases, Income Documentation, Tax Documentation, proof of insurance ineligibility, etc.)
- Scanning and documenting client paperwork into the client's folder on the F&CS database.
- Provide customer service to clients to assist with education and comprehension of the application process.
QUALIFICATIONS: - Bachelors degree required
- Bilingual in English/Spanish preferred, but not required.
- Experience in Medicaid eligibility, enrollment and billing is strongly preferred.
- Customer service experience is preferred
- Ability and willingness to become case management certified preferred.
- Excellent communication skills, both verbal and written
- Strong organizational and time management skills
- High level of accuracy and attention to detail
- Ability to multitask and prioritize
- Excellent administrative skills
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