Divisional Eligibility Support Specialist - East
Creative Solutions in Healthcare, Fort Worth, TX, United States
Position Summary
The Divisional Eligibility Support Specialist provides expert guidance and hands-on support to facility and regional staff related to Long-Term Care Medicaid Eligibility (MEPD). This role ensures accurate application completion, timely case resolution, and ongoing compliance with state and federal Medicaid regulations. The position requires a strong field presence, collaboration across departments, and a passion for supporting the elderly and handicapped population.
Essential Duties and Responsibilities
Provide guidance and support to facility staff regarding
MEPD policies and procedures
Identify facilities requiring assistance and coordinate efforts to resolve eligibility concerns effectively
Review and assist with the completion of
Medicaid applications , ensuring accuracy and completeness of all documentation
Maintain consistent communication with
facility staff, regional staff, caseworkers, and other stakeholders
to support timely case resolution
Participate in
Private Aging calls
to identify and address Medicaid and Medicaid Pending-related issues
Maintain
in-field presence a minimum of three (3) weeks per month
to provide on-site support and training
Maintain strict
confidentiality
and adhere to all state and federal Medicaid regulations
Complete and submit
written reviews of facility visits
Perform
additional duties as assigned
Minimum Qualifications
Minimum of
five (5) years of professional experience
Working knowledge of Long-Term Care Medicaid Eligibility (MEPD)
Ability to operate a
10-key calculator by touch
Strong
typing skills
and general computer proficiency
Proficient in
Microsoft Office Suite , including Excel, Word, and Outlook
Ability to communicate effectively with
residents, the public, and coworkers
Demonstrated ability to
organize, prioritize, and meet deadlines
Ability to perform all
essential job duties
and meet physical job requirements
Genuine caring and interest
in serving elderly and handicapped individuals
Ability to comply with the
Patients' Bill of Rights
and
Employee Responsibilities
Ability to comply with all
company and departmental safety policies and procedures
Ability to
read and write in English
Benefits (Full-Time)
Comprehensive Coverage : Health, Dental, and Vision Insurance
Extra Protection : AD&D, Short-Term Disability, Cancer, Critical Illness, and more
Life Insurance : Whole and Term Policies
Professional Growth : Tuition Reimbursement for continued education
Time to Recharge : Paid Time Off
Retirement Planning : Immediate 401(k) eligibility
Unwavering Support : Exceptional corporate resources and leadership
Equal Opportunity Employer
Creative Solutions in Healthcare is proud to be an Equal Opportunity Employer.
We are committed to fostering a diverse, inclusive, and respectful work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity, or any other protected status under applicable law.
The Divisional Eligibility Support Specialist provides expert guidance and hands-on support to facility and regional staff related to Long-Term Care Medicaid Eligibility (MEPD). This role ensures accurate application completion, timely case resolution, and ongoing compliance with state and federal Medicaid regulations. The position requires a strong field presence, collaboration across departments, and a passion for supporting the elderly and handicapped population.
Essential Duties and Responsibilities
Provide guidance and support to facility staff regarding
MEPD policies and procedures
Identify facilities requiring assistance and coordinate efforts to resolve eligibility concerns effectively
Review and assist with the completion of
Medicaid applications , ensuring accuracy and completeness of all documentation
Maintain consistent communication with
facility staff, regional staff, caseworkers, and other stakeholders
to support timely case resolution
Participate in
Private Aging calls
to identify and address Medicaid and Medicaid Pending-related issues
Maintain
in-field presence a minimum of three (3) weeks per month
to provide on-site support and training
Maintain strict
confidentiality
and adhere to all state and federal Medicaid regulations
Complete and submit
written reviews of facility visits
Perform
additional duties as assigned
Minimum Qualifications
Minimum of
five (5) years of professional experience
Working knowledge of Long-Term Care Medicaid Eligibility (MEPD)
Ability to operate a
10-key calculator by touch
Strong
typing skills
and general computer proficiency
Proficient in
Microsoft Office Suite , including Excel, Word, and Outlook
Ability to communicate effectively with
residents, the public, and coworkers
Demonstrated ability to
organize, prioritize, and meet deadlines
Ability to perform all
essential job duties
and meet physical job requirements
Genuine caring and interest
in serving elderly and handicapped individuals
Ability to comply with the
Patients' Bill of Rights
and
Employee Responsibilities
Ability to comply with all
company and departmental safety policies and procedures
Ability to
read and write in English
Benefits (Full-Time)
Comprehensive Coverage : Health, Dental, and Vision Insurance
Extra Protection : AD&D, Short-Term Disability, Cancer, Critical Illness, and more
Life Insurance : Whole and Term Policies
Professional Growth : Tuition Reimbursement for continued education
Time to Recharge : Paid Time Off
Retirement Planning : Immediate 401(k) eligibility
Unwavering Support : Exceptional corporate resources and leadership
Equal Opportunity Employer
Creative Solutions in Healthcare is proud to be an Equal Opportunity Employer.
We are committed to fostering a diverse, inclusive, and respectful work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity, or any other protected status under applicable law.