Please email a copy of your resume to hr@areaagencyonaging.org or complete the application form below.
POSITION SUMMARY: Responsible for providing person-centered support that ensures participants, their caregivers, and designated representatives have access to Medicaid and other Third-Party Liability benefits. Prioritizes direct assistance to MI Choice applicants and participants to prepare, complete, and submit Medicaid applications and redeterminations to ensure timely and uninterrupted eligibility and enrollment. Provides technical Medicaid information and assistance to agency staff, participants, and partners.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Telephones and/or travels throughout Berrien, Cass, and Van Buren Counties to visit participants in
their homes and other institutional or community-based settings to assist in preparation, collection,
and submission of eligibility and entitlement applications and redeterminations. - Completes additional screening for wait list applicants to determine program eligibility.
- Corresponds and coordinates with agency staff, participants, their representatives, businesses,
community service partners and providers, and others to access and collect information and
documentation needed to complete entitlement applications and redeterminations and access ThirdParty Liability benefits. - Performs and/or assists with completion and submission of entitlement applications and
redeterminations and all subsequent follow-up responses to local office inquiries for additional
information or documentation. - Notifies local DHHS office of enrollments and disenrollments and maintains accurate program status
in appropriate software system(s). - Tracks timelines and completes timely redeterminations to ensure seamless continuation of benefits.
- Reviews discrepancies in program enrollment and works with the local DHHS office and MDHHS
staff to resolve issues as needed. - Provides support to applicants working toward financial eligibility. Connects applicants with
community services as appropriate. - Organizes and maintains Medicaid and Third-Party Liability resources, forms and applications.
- Provides technical Medicaid information and assistance to agency staff, participants, and partners.
- Maintains current, accurate, and HIPAA compliant participant files and program records.
- Assists as needed with other projects and assignments that optimize program delivery and
implementation. - Other duties as assigned.
SUPERVISORY RESPONSIBILITIES: No supervisory responsibilities.
QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE: High school diploma or general education degree (GED); or one-year related experience and/or training; or equivalent combination of education and experience.
REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, diagram, or graphic form.
OTHER SKILLS & ABILITIES: Ability to work well with people on a personal basis.
LANGUAGE SKILLS: Ability to read and comprehend instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to other employees of the organization and the general public.
MATHEMATICAL SKILLS: Ability to add, subtract, multiply and divide using whole numbers, common fractions and decimals. Ability to compute rate, ratio, and percent.
PHYSICAL DEMANDS: The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to communicate and express
oneself. The employee frequently operates a computer, using other tools and controls, and positioning
oneself to operate computer and other office equipment. The employee is frequently required to remain
in a stationary position, and then occasionally move about inside the office to access workstation, office
equipment, and file storage areas, etc. The employee must be able to travel in all kinds of weather.
While performing the duties of this job the employee may need to regularly move up to 10 pounds.
Specific vision abilities for this job may include close vision, depth perception, distance vision, and the
ability to adjust focus.
Employees of Region IV Area Agency on Aging must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Region IV Area Agency on Aging provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.