FT Eligibility Specialist – SLC
Location: Salt Lake City
If you are good with numbers, relish the process of organizing data and enjoy the satisfaction of helping women through the process of getting approved for funding, we have the opportunity for you! Join House of Hope, a nonprofit organization for women and children, for a rewarding experience that will take you to the next level in personal and professional development!
These are the top responsibilities of the Eligibility Specialist at House of Hope:
-Responsible for helping women in recovery obtain and sustain Medicaid eligibility and resources in order to obtain for mental health or substance use disorders treatment;
-Provide case management for clients who need assistance obtaining verifications, birth certificates, social security cards, or other needed documentation;
-Collaborate with the Department of Workforce Services to assist clients in accessing programs to meet their needs for financial assistance, health insurance or other resources;
-Communicate with ORS agents on any non-compliance issues affecting a client’s medical or financial assistance eligibility and work with clients to resolve issues in a timely manner so that benefits are protected;
-Ensure that client authorizations are collected from clinicians and submitted in compliance with agency protocols.
-Track on-going reauthorizations for funding in compliance with payer regulations and meet deadlines specified by each billing code;
-Maintain spreadsheets for reporting and complete data entry in the clinical management and billing system;
-Participate in strategic planning and utilization review for funding sources and contract management;
-Assisting with various other duties and special projects on an as-needed basis
We are looking for someone who meets the following qualifications:
-Excellent communication skills in working with diverse populations with various needs as well as multiple agencies and organizational departments;
-Proficient at verbal and written communication skills as well as professional telephone and email communication;
-Enjoys problem-solving, multi-tasking and can manage multiple projects simultaneously with attention to detail.
-Self-motivated, demonstrates initiative in developing schedule and processes to accomplish own goals;
-Efficient in accomplishing daily tasks without supervision and sustaining consistent processes to meet objectives and deadlines with accuracy even under pressure;
-Resolves conflicts with clients, agencies, and co-workers with direct, professional and calm manner;
-Proficient computer skills, especially in MS Office with expertise in Microsoft Excel and Word in order to create and maintain Excel spreadsheets must be experienced and proficient with formulas, tables & formatting;
-Preference given to applicants who have worked with Medicaid clients, have experience in insurance authorizations, data management for healthcare or case management for workforce services or similar agency.
Salary Range: $15 to start and increase to $16 after training when able to do the job independently; Full benefits package including health, dental and life insurance, paid vacation, sick days and holidays, 401(k) dollar for dollar match up to 5% after one year with vesting schedule, annual increases, employee recognition, other bonuses and incentives are available.
Hours: 40 hours/week, Monday – Friday, 8:30 am-5:00 pm
-This is a non-smoking work site.
-Must have a flu shot before hire and COVID-19 vaccination when available.
-Must be at least 21 years old.
-Must be able to pass extensive background check and drug test.
-If in recovery, must have at least 2 years of sobriety.
-Must have own reliable transportation.
House of Hope is a non-profit providing addiction recovery and behavioral health services to help women rebuild their lives and strengthen their families.
To Apply: Send resume, cover letter, and 3 professional references to: firstname.lastname@example.org. Please include job title you are applying for with all contact! Thank you!