Description
Job Title: Entitlements Specialist
Reports to: Admission Director
POSITION SUMMARY: Under the direction and supervision of the Admission Director, the Entitlements Specialist is responsible for completion of Medicaid/Intake applications, follow-up for Human Resources Administration (HRA) applications and Pending Medicaid, SSI/Fair Hearing appointments and Managed Care (HMO) dis-enrollments.
Position Description
A. ENTITLEMENTS:
- Responsible for Medicaid/Intake Applications for new clients and re-application for those clients who have lost Medicaid Benefits. This includes collecting the required documents from the clients needed to complete the application through the NY Health Exchange.
- Provide Entitlements Counseling for all clients of VIP to ensure active benefits, including Eligibility, Restrictions, Spend Down status, Managed Care disenrollment/enrollment, and guidance towards recertification. Determine client eligibility through EPACES for all new admissions.
- Monitor recertified cases for eligibility status and report to Program Directors on a weekly basis.
- Completion of HRA Entitlements package for Level ll Congregate Care (mandated and non-mandated, SSI/SSD recipients).
- Responsible for making HRA interview appointments for all new residential admissions.
- Responsible for delivery of HRA package to the Human Resource Administration within 48 hours of completion.
- Assess client eligibility for Self Pay status if applicable.
B. Participate in Job Trainings and Education Programs, Meetings and Committees as assigned or indicated.
- Attend mandatory in-service trainings as scheduled.
- Attend seminars to further professional development
Requirements
JOB COMPETENCY:
- Associate Degree or High School Diploma
- Minimum of 3 years experience working in the behavioral health field in the Entitlements Sector.
- CAC/Navigator certification a plus.
- Bilingual English/Spanish Preferred
- Excellent written and oral communication skills.
- Knowledge of computer programs.
- Excellent organizational skills.
Skills Required
- Associate Degree or High School Diploma
- Minimum of 3 years experience working in the behavioral health entitlements sector
- Experience with Medicaid/Intake applications, HRA processes, and EPACES
- Knowledge of computer programs
- Excellent written and oral communication skills
- Excellent organizational skills
- Bilingual English/Spanish
- CAC/Navigator certification
What We Do
Vocational Instruction Project (VIP) Community Services is a 501(c)3 non-profit organization dedicated to transforming lives and enhancing the community. It offers a continuum of comprehensive and integrated medical, behavioral, housing, and wraparound services, including primary and specialty care, as well as inpatient and outpatient substance use disorder services, serving thousands of children, adults, and families each year.
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