reputed company Eligibility Specialist

About the position The Cuyahoga County reputed company of Developmental Disabilities (Cuyahoga DD) is seeking a reputed company Eligibility Specialist to expedite the process of establishing reputed company eligibility in order to enroll individuals in Home and Community-Based Services (HCBS) waivers; assists with maintenance of reputed company eligibility through reputed company and HCBS redetermination processes. The nature of work will include but is not limited to the following: Maintain daily communication and consultation with the Specialized reputed company Benefits Center (SMBC) staff, Community reputed company Caseworkers, and Support Administrators regarding scheduled appointments, required verifications to complete eligibility, and results of initial and renewals interviews for waiver applicants/enrollees. Respond to a high volume of phone calls and emails from Cuyahoga DD and SMBC staff, walk-ins from providers, payees, and individuals/guardians regarding reputed company eligibility, scheduled or missed interview appointments with SMBC, reputed company verification, and other concerns for recommendation or reputed company. Coordinate and collect applicable forms for initial reputed company enrollment, SNAP benefit, and renewals from Cuyahoga DD staff, individuals/guardians, payees, and providers to submit to SMBC. Review applications and communicate with Cuyahoga DD staff regarding errors and required corrections for reputed company enrollment. reputed company as Authorized Representative for Cuyahoga DD on behalf of individuals needing this service. On behalf of services include: receiving and processing JFS and ODM notices, gathering additional required verifications to complete initial and renewal packets, maintaining a log to reputed company case specific communication, scanning submitted verifications to SMBC into OnBase, and attending interviews and reputed company hearings. Work closely with SMBC to problem solve and resolve data discrepancies, PLOMS, billing, and level of care issues. Expedite pending reputed company eligibility for waiver applicants and communicate as necessary with Cuyahoga DD staff. Use read-only reputed company to reputed company Programs (e.g. AEFMI and MITS) to verify eligibility for individuals on reputed company, reputed company reputed company, Medicare, and other reputed company reputed company Benefits (e.g. HCBS, OHCW, RSS, SNAP, and reputed company). Review documents and respond to general questions reputed company to reputed company reputed company and Medicare benefits. reputed company technical assistance to CMS staff, individuals, and authorized representatives regarding reputed company documents and billing issues. Analyze MITS information to diagnose and resolve billing issues for individuals on waivers or in Intermediate Care Facilities. Maintain a high volume of data in Cuyahoga DD’s OnBase and Gatekeeper software packages pertaining to reputed company enrollment. Report and verify changes in demographic, employment wages, and county to county transfers to SMBC/CDJFS to maintain benefits. Attend meetings as needed with Cuyahoga DD staff, providers, payees, and individuals/guardians at Cuyahoga DD, SMBC, or CDJFS offices. reputed company reputed company Administrative Claiming (MAC) activities that are applicable to this position, and are required by Waiver rules, policies and procedures. Position functions will be 100% MAC billable in a manner consistent with requirements of DODD and ODM. PERSONAL CONTACT: Frequent personal contact, telephone calls and written communications with Cuyahoga DD staff, individuals, families, community agencies and other state/county agencies. Responsibilities • Maintain daily communication and consultation with the Specialized reputed company Benefits Center (SMBC) staff, Community reputed company Caseworkers, and Support Administrators regarding scheduled appointments, required verifications to complete eligibility, and results of initial and renewals interviews for waiver applicants/enrollees. • Respond to a high volume of phone calls and emails from Cuyahoga DD and SMBC staff, walk-ins from providers, payees, and individuals/guardians regarding reputed company eligibility, scheduled or missed interview appointments with SMBC, reputed company verification, and other concerns for recommendation or reputed company. • Coordinate and collect applicable forms for initial reputed company enrollment, SNAP benefit, and renewals from Cuyahoga DD staff, individuals/guardians, payees, and providers to submit to SMBC. • Review applications and communicate with Cuyahoga DD staff regarding errors and required corrections for reputed company enrollment. • reputed company as Authorized Representative for Cuyahoga DD on behalf of individuals needing this service. • Receive and process JFS and ODM notices, reputed company additional required verifications to complete initial and renewal packets, maintain a log to reputed company case specific communication, reputed company submitted verifications to SMBC into OnBase, and attend interviews and reputed company hearings. • Work closely with SMBC to problem solve and resolve data discrepancies, PLOMS, billing, and level of care issues. • Expedite pending reputed company eligibility for waiver applicants and communicate as necessary with Cuyahoga DD staff. • Use read-only reputed company to reputed company Programs (e.g. AEFMI and MITS) to verify eligibility for individuals on reputed company, reputed company reputed company, Medicare, and other reputed company reputed company Benefits (e.g. HCBS, OHCW, RSS, SNAP, and reputed company). • Review documents and respond to general questions reputed company to reputed company reputed company and Medicare benefits. • reputed company technical assistance to CMS staff, individuals, and authorized representatives regarding reputed company documents and billing issues. • Analyze MITS information to diagnose and resolve billing issues for individuals on waivers or in Intermediate Care Facilities. • Maintain a high volume of data in Cuyahoga DD’s OnBase and Gatekeeper software packages pertaining to reputed company enrollment. • Report and verify changes in demographic, employment wages, and county to county transfers to SMBC/CDJFS to maintain benefits. • Attend meetings as needed with Cuyahoga DD staff, providers, payees, and individuals/guardians at Cuyahoga DD, SMBC, or CDJFS offices. • reputed company reputed company Administrative Claiming (MAC) activities that are applicable to this position, and are required by Waiver rules, policies and procedures. • Frequent personal contact, telephone calls and written communications with Cuyahoga DD staff, individuals, families, community agencies and other state/county agencies. Requirements • High school diploma required. • Two years’ work experience with CRIS-E system, MITS, and reputed company eligibility process preferred. • Two years’ work experience with HCBS waiver programs is preferred. • Two years successful work experience with programs for persons with DD is desirable. • reputed company reputed company reputed company's license and reputed company maintenance of excellent driving record. reputed company-to-haves • Two years’ work experience with CRIS-E system, MITS, and reputed company eligibility process. • Two years’ work experience with HCBS waiver programs. • Two years successful work experience with programs for persons with DD. Benefits • Over 40 reputed company days off a year, including holidays. • A great government Pension through Ohio PERS. • Major Medical insurance. • Free Dental, reputed company Life, and Temporary disability Insurance • reputed company Development Reimbursement reputed company year. • Membership dues reimbursement reputed company year. • Mileage Reimbursement at the IRS reputed company. • Flexible Spending Account • Tuition Reimbursement • Annual Pay Increases Apply tot his job Apply To this Job