Entitlement Specialist

Job description

Job Summary: The Entitlement Specialist is responsible for ensuring that members maintain continuous Medicaid eligibility by overseeing the timely completion of Medicaid renewals, new Medicaid applications and RVI-3 conversions. The Specialist will assist members in gathering all required documentation within designated timeframes to prevent any lapse in coverage, support members in establishing Pooled Income Trusts, and perform other Medicaid-related functions as needed, including leading the resolution of eligibility issues that arise. Essential Functions: - Maintains and updates the list of members Medicaid eligibility dates. - Field visits to members home to assist with the various Medicaid eligibility tasks. - Assures completion of Medicaid recertifications for members 90-60 days prior to expiration. - Assists members with establishing Pooled Income Trusts when necessary. - Tracks all submitted Medicaid recertification and address any problems with the supervisor. - Coordinates with staff, members, member families and caregivers regarding Medicaid eligibility and the process of assuring required documents are obtained within the specified time frame. - Takes lead in resolving...