Recertification and Follow-up Process Specialist for Medicaid Services

hace 4 semanas


Ciudad de México, Ciudad de México Smart Pro Connect A tiempo completo
Job Overview

Smart Pro Connect is a dynamic organization specializing in Medicaid services, seeking an experienced Recertification and Follow-up Process Specialist to join their team at FHS Consultants, LLC. This pivotal role plays a crucial part in ensuring the continuity of Medicaid service eligibility, handling documentation management, and providing clients with necessary support.

Key Responsibilities
  • Medicaid Recertification Management: Oversee Medicaid recertification processes, guaranteeing adherence to established standards and internal policies.
  • Documentation and Compliance: Review and update documentation to ensure completeness and accuracy, maintaining compliance with regulatory requirements.
  • Proactive Follow-up: Monitor clients' recertification needs to meet deadlines and prevent service interruptions, thereby ensuring seamless delivery of Medicaid services.
  • Problem Resolution: Collaborate with teams and clients to address eligibility questions and issues, providing effective solutions and support.
  • Process Improvement: Identify opportunities to enhance recertification and follow-up processes for increased efficiency, ultimately benefiting both clients and the organization.
Requirements and Qualifications
  • Bilingual Proficiency: Strong communication skills in English and Spanish, with the ability to communicate effectively with clients and stakeholders.
  • Relevant Experience: Proven experience in administration, recertification, or customer service, ideally within the healthcare or insurance services sector.
  • Organizational Skills: Excellent organizational skills and attention to detail, with the capacity to succeed in a dynamic, results-driven environment.
  • Technical Skills: Basic knowledge of office tools and document management software, ensuring efficient documentation and record-keeping.
Salary Information

The estimated salary range for this position is $45,000 - $65,000 per annum, depending on qualifications and experience.



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