Medicaid Specialist – Sentara Health

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Award-winning: Sentara Healthcare is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan.  The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years.  U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years.  Sentara offers professional development and a continued employment philosophy!

When you join Sentara in a professional or management role, you become part of a progressive team of business leaders and operational experts. Our organization and our people are highly respected for the knowledge and innovation that we demonstrate each day. Working with us is an opportunity to have a positive influence on our growth and the communities we serve.

Overview

Responsibilities

Qualifications

Overview

Responsibilities

Assists in gathering and processing intake and enrollment paperwork. Submits and completes follow-up of pre/post enrollment paperwork with state and federal agencies. Completes verification of Medicare and Medicaid coverages and coordination of annual Medicaid renewals. Works in collaborations with Account Executive, Enrollment Coordinator, potential participant, caregiver, and others to identify a potential enrollee’s current financial status through review of income sources, current insurance policies, bank accounts, and other areas. Assists the Account Executive and Enrollment Coordinator in explaining financial issues to potential enrollees and/or their caregivers related to enrollment in the SE PACE program. Assists with quarterly mailings to referral sources as assigned. Other projects and duties as assigned. Associates Degree, preferred and 1-2 two years of extensive knowledge of Virginia Medicaid

Qualifications

License/Certification

  • Basic Life Support (BLS) – Other/National

Education

  • Associate’s Level Degree
  • High School Grad or Equivalent

Experience

  • Medicaid 1 year
  • Frail and Elderly Population Previous Experience
  • Customer Service 3 years

Skills

  • Microsoft Office

 
 

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.