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Eligibility Manager

Description:

The Eligibility Manager oversees the daily operations of the Program. This role ensures that the Medical Assistance Eligibility process and all other company services are delivered in a professional and focused manner ensuring the best possible outcomes for our client and their self-pay population. Responsibilities include

  • Reviewing productivity for quality assurance and adherence to program policy in an effort to provide optimal service to our clients.
  • Interviewing, hiring, training, mentoring and evaluating Eligibility staff.
  • Acts as the liaison between Clients and Eligibility Representatives to facilitate a seamless cooperative effort and provides training to support departments.
  • Prepares weekly and monthly reports to upper management for effective monitoring of staff.
  • Must be able to partner with the hospital and create relationships.

Duties:

  • Look at medical records and make a determination whether a person is disabled and make a determination if they are qualified for disability
  • Ensures all employee reviews are completed timely.
  • Initiates necessary disciplinary action and reports to Regional Manager/Dir. Of Operations actions taken.
  • Keeps District Manager/Regional Operations Director informed of any problems regarding the client, staff, or other entities, which affect the success of the organization.
  • Reports to District Manager/Regional Operations Director on team accomplishments, achievements, and productivity
  • Is able to manage and motivate other team members to accomplish tasks and goals.
  • Ensures that assigned staff are performing their job functions according to the “Schedules and Methods of Work” set out by DECO.
  • Assists in the training of all new employees reporting to Program Manager
  • Ensures that all weekly and monthly reports are completed timely for the District
  • Manager/Regional Operations Director.
  • Assures that all client files are maintained and record statuses in the company database are accurate.
  • Interacts with patients, families, physicians, and caseworkers in order to obtain or determine the eligibility of the patient for Federal or State assistance.
  • Ensures primary focus is on optimizing revenue.
  • Develops and maintains an extensive knowledge base for County, Federal, and State-administered programs.
  • Develops and maintains a thorough knowledge and understanding of eligibility systems, their codes, and their relationships so those problems can be identified and resolved.
  • Ensures all accounts are documented and followed-up in accordance with the guidelines established in the company training manuals and included in the client hospital contract.
  • Ensures all agreed-upon guidelines established by the client hospital are met. Informs District Manager/Regional Operations Director of any potential problems in a timely manner.
  • Deliver efficient, high-quality services and work with a commitment to improving services work processes, and performance.

Qualifications:

  • Thorough knowledge of government healthcare eligibility programs. Prior multi-entity management experience.
  • Some college and five-plus years of related experience and/or training
  • Accurate typing/data entry at a minimum of 30 wpm
  • Ability to use a PC effectively including various database programs.
  • Advanced interpersonal skills and the ability to communicate effectively in writing and verbally.
  • Thorough knowledge of the Medicaid application and appeals processes.
  • Ability to learn multiple state/federal/local program policies and procedures
  • Follow complex instructions and procedures, paying close attention to details.

Experience Level:

  • Expert Level

About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Company
Aerotek
Posted
02/22/2021
Type
Contractor
Salary Range
$45,000.00 - 97,000.00
per Year
Salary range estimated by
Location
Pompano Beach, FL, US