Medidcaid Eligibility Specialist

Company: Mohr Talent
Location: Miami
Posted on: April 5, 2025

Job Description:

Position Overview

The Medicaid Benefits Counselor is responsible for facilitating access to and determining Medicaid eligibility for individuals seeking assistance. This role requires strong communication skills to explain Medicaid programs both over the phone and in person. The primary focus is on eligibility determination, but additional duties may be assigned as needed.

Primary Responsibilities

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  Accept referrals from various sources for intake and screening.
  
  
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  Assess individual needs and determine potential Medicaid eligibility using a standardized screening tool.
  
  
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  Provide timely and customer-friendly services to assist in the Medicaid application and review process.
  
  
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  Verify an individual's Medicaid eligibility status.
  
  
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  Explain Medicaid eligibility rules and processes to applicants.
  
  
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  Conduct comprehensive screenings for individuals on the Assessed Priority Consumer List (APCL).
  
  
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  Input client assessments and update records in the designated tracking system.
  
  
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  Prepare and package necessary forms for Medicaid eligibility determination.
  
  
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  Assist individuals with gathering required documentation and completing Medicaid applications.
  
  
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  Coordinate with eligibility professionals to facilitate the application process.
  
  
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  Refer individuals to the appropriate agency for Medicaid application processing.
  
  
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  Obtain required physician referral forms and coordinate with assessment staff for functional eligibility determinations.
  
  
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  Maintain accurate tracking data to ensure timely Medicaid eligibility processing.
  
  
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  Track and update Medicaid applications throughout the eligibility process.
  
  
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  Conduct outreach efforts to increase public awareness of Medicaid programs and resources.
  
  
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  Develop and distribute informational materials on Medicaid services.
  
  
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  Build relationships with service providers and professionals to facilitate referrals.
  
  
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  Provide training and guidance to access points regarding Medicaid resources.
  
  
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  Participate in meetings with relevant agencies to enhance the eligibility process.
  
  
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  Advocate for applicants by coordinating with various entities to resolve eligibility issues.
  
  
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  Assist with disaster response efforts as needed.
  
  
  
  Education and Skills Requirements
  
  
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    Bachelor's degree in social work, psychology, gerontology, or a related field, plus one (1) year of related work experience, OR a Bachelor's degree in an unrelated field with two (2) years of relevant experience. Equivalent professional experience may substitute for a degree.
    
    
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    Strong communication, attention to detail, and organizational skills.
    
    
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    Ability to handle difficult conversations and de-escalate confrontations.
    
    
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    Experience working with older adults and the general public.
    
    
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    Ability to work independently and as part of a team.
    
    
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    Proficiency in Microsoft Office (Word, Excel) and database applications.
    
    
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    Familiarity with Medicaid-related systems and databases preferred.
    
    
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    Experience in training, public speaking, and developing training materials.
    
    
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    Typing speed of at least 45 words per minute with strong English grammar and spelling skills.
    
    
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    Bilingual (English/Spanish) preferred.
    
    
    
    
    MOHR Talent is an equal-opportunity employer and complies with all applicable federal, state, and local nondiscrimination laws. We provide equal employment opportunities regardless of race, color, religion, sex, national origin, age, disability, marital status, sexual orientation, gender identity, genetic information, military/veteran status, or any other protected status. If you believe you have been discriminated against or have concerns about our compliance, please contact our Human Resources department at hr@themohrgrp.com

Keywords: Mohr Talent, Miami , Medidcaid Eligibility Specialist, Other , Miami, Florida