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Recertification and Follow-up Specialist for Medicaid Continuity
hace 1 mes
We are seeking a detail-oriented and proactive Medicaid Recertification and Continuity Specialist to join our team at Smart Pro Connect. This role is crucial in maintaining Medicaid service eligibility and continuity, ensuring clients receive the necessary support.
About the Role:This position involves overseeing Medicaid recertification processes, reviewing and updating documentation to ensure completeness and accuracy, monitoring clients' recertification needs to meet deadlines, and collaborating with teams and clients to address eligibility questions and issues.
Key Responsibilities:- Recertification Management: Ensure adherence to standards and internal policies while managing Medicaid recertification processes.
- Documentation and Compliance: Maintain accurate and complete documentation to meet regulatory requirements.
- Proactive Follow-up: Monitor client needs to prevent service interruptions and ensure timely recertification.
- Problem Resolution: Collaborate with teams and clients to resolve eligibility questions and issues.
To be successful in this role, you will need:
- Bilingual skills in English and Spanish with excellent communication skills in both languages.
- Proven experience in administration, recertification, or customer service, preferably in healthcare or insurance services.
- Excellent organizational skills and attention to detail, with the ability to thrive in a dynamic environment.
- Basic knowledge of office tools and document management software.
The estimated salary for this role is $ $65,000 - $85,000 per year, depending on location and experience. If you are passionate about delivering exceptional support to clients and have a keen eye for detail, we encourage you to apply for this exciting opportunity.
