About our Company FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. S.

We pride ourselves on our values which drive the level of care that we deliver to our patients: Here For You (An attitude of service, empathy, and availability) Own It (Drive and ownership) Do the Right Thing (High integrity) Be Positive (Great attitude and a can-do positive approach to challenges) Join our team and make a positive impact on the lives of others! We are looking for a Medicaid Eligibility Specialist I for our Colorado Team . This is a hybrid role based out of the following office at least twice per week: Denver, CO (we are located in the beautiful Denver Tech Center) Department Position Overview: The Medicaid Eligibility Specialist II focuses on enhancing the patient’s experience by facilitating the approval process, to allow them to receive our service.

The Medicaid Specialist responsible for expediting the time it takes for them to enroll into our programs or continue receiving services. The Specialist focuses on maintaining eligibility with current consumers’ service by maintaining active Medicaid status through Medicaid recertification and monthly spend down obligations. The Specialist will be responsible for ensuring compliance with all relevant regulations.

The Medicaid Specialist requires a high level of attention to detail, excellent communication skills, and requires in-depth knowledge and understanding of Medicaid policies, regulations, and procedures.

Requirements

and

. Conduct client education sessions on Medicaid programs and

through the clients’ pre-care on care status. Medicaid Renewal Processing: Monitor and manage the Medicaid renewal process for existing clients. Notify clients of upcoming renewal deadlines and assist with the submission of required documentation.

Ensure that renewals are processed in a timely manner to avoid lapses in coverage Documentation and Record Keeping: Maintain accurate and detailed records of verification processes and outcomes. Update patient records in salesforce to reflect current Medicaid status. Design Medicaid eligibility and spenddown process along with trackability reports in Salesforce.

Communication: Serve as a point of contact for Medicaid inquiries from clients, caregivers, and Case Management Agencies.

Benefits

Address client inquiries and concerns related to Medicaid applications, renewals, and coverage.

. Subject matter expert relative to Colorado Medicaid spenddown

, and application processes. Advocate for clients to ensure they receive appropriate Medicaid services. Respond to inquiries from patients and healthcare providers regarding Medicaid coverage and eligibility.

Collaboration and Support: Work closely with partnering departments to resolve any issues related to Medicaid coverage and recertification. Assist with training staff members on Medicaid verification procedures and policies.

Identify and resolve issues that may affect clients' Medicaid eligibility or coverage. Work with government agencies and other stakeholders to address and resolve complex Medicaid-related cases. Ideal Candidate Will Possess: Associate or bachelor's degree in social work, Healthcare Administration, Public Health, or a related field preferred 2+ years of experience in Medicaid, healthcare, or social services.