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About the Role

The Entitlements Specialist is responsible for completing Medicaid/Intake applications, following up on Human Resources Administration (HRA) applications, managing Pending Medicaid, SSI/Fair Hearing appointments, and handling Managed Care (HMO) dis-enrollments under the supervision of the Admission Director.

Responsibilities

• Complete Medicaid/Intake Applications for new clients and re-applications for clients who have lost Medicaid Benefits.
• Collect required documents from clients to complete applications through the NY Health Exchange.
• Provide Entitlements Counseling 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 weekly.
• Complete HRA Entitlements package for Level ll Congregate Care.
• Schedule HRA interview appointments for all new residential admissions.
• Deliver HRA packages to the Human Resource Administration within 48 hours of completion.
• Assess client eligibility for Self Pay status.
• Participate in job trainings, education programs, meetings, and committees.
• Attend mandatory in-service trainings.
• Attend seminars for professional development.

Requirements

• Associate Degree or High School Diploma.
• Minimum of 3 years experience working in the behavioral health field in the Entitlements Sector.
• CAC/Navigator certification is a plus.
• Bilingual English/Spanish is preferred.
• Excellent written and oral communication skills.
• Knowledge of computer programs.
• Excellent organizational skills.

Skills

• Medicaid/Intake Applications
• NY Health Exchange
• Entitlements Counseling
• EPACES
• HRA Entitlements package
• Computer programs
• Communication skills
• Organizational skills

Experience Level

• Minimum of 3 years experience

Education Level

• Associate Degree
• High School Diploma