Eligibility & Financial Redetermination Representative

• Completes all re-determinations for InnovAge PACE participants assigned 30 days before case due date
• Monitors the Medicaid aging report and works to clear aged items in a timely manner
• Communicates the policies and procedures of Long Term Medicaid, Spousal Impoverishment, and Trusts to participants in a way that is easily understood by participants, families and caregiver(s)
• Performs home visits and/or Day Center visits to complete all Medicaid redeterminations within required time frames in a manner that is most convenient and efficient for the participant
• Assists participants, families and caretaker(s) in completing necessary paperwork needed for Medicaid re-determination including collaborating with county government technicians to assess additional documentation needed
• Documents work and outcomes in the Participant Tracking System Record of Contact Notes and in the department tracking model
• Organizes case load and working area in an efficient manner that allows information to be accessed when not available
• Completes disenrollment forms for HMO’s and forward to supervisor in a timely manner
• Processes participant/Intake/social worker housing forms and completes new supporting housing forms for all RV’s if there is a differential in income

• Current knowledge of the Medicaid system/benefits in addition to community resources that are available to seniors and their families
• High School diploma or GED required
• Requires a valid state issued driver’s license, personal transportation, good driving record and auto insurance as required by law

Bi-lingual

• medical/dental/vision insurance
• short and long-term disability
• life insurance and AD&D
• supplemental life insurance
• flexible spending accounts
• 401(k) savings
• paid time off
• company-paid holidays