Medicaid Eligibility Specialist | PASRR at Valley Mental Health Incorporated – West Valley City, Utah

Program: Pre-Assessment Screening & Resident Review (PASRR)

Pay: Range starts at $16.50/hour (pay is calculated based on years of related experience)

Schedule: Monday – Friday | 8am – 4pm

Benefits Highlights

• Compensation Our compensation program includes tenure-based service increases and performance bonuses that recognize and reward high-performing team members.
• On-Demand Pay gives you access to a portion of your earned wages before your scheduled payday.
• Time Off We offer 15 days of accrued paid time off annually (increasing by one day with each year of service), 10 paid holidays, 2 wellness days, and paid parental leave.
• Health & Insurance Benefits Full-time and part-time team members working 30+ hours per week are eligible for medical, dental, vision, life, and disability insurance, as well as voluntary options including accident, hospital indemnity, critical illness, financial protection, and pet insurance. Valley also provides Basic Life, Accidental Death & Dismemberment, and Long-Term Disability Insurance at no cost to eligible team members.
• Health Savings & Reimbursement Out-of-pocket medical expenses may be eligible for reimbursement through our Garner HRA — up to $2,000 for individuals and $4,000 for families. Depending on your medical plan selection, you may also contribute pre-tax dollars to a Health Savings Account (HSA), with a company match of up to $900 for individuals and $1,800 for families.
• Retirement Our 401(k) plan accepts both pre-tax and Roth (post-tax) contributions and includes a company match of up to 6% of your annual salary.
• Learning & Development We invest in our team members' growth through tuition reimbursement, new licensure reimbursement, paid training and conference attendance, continuing education reimbursement, and paid time for continuing education.

Why Valley?

Since 1984, Valley Behavioral Health has helped thousands of adults, children, and families access high-quality behavioral health care. As the largest non-profit community behavioral health provider in the Intermountain Region, Valley offers a comprehensive range of services to ensure each individual receives the personalized care they need to heal and grow.
You will belong in a community where you can be yourself, grow your career, and embrace new opportunities. Valley is committed to being an organization that promotes authenticity and encourages opportunities for success.

Job Summary & Deliverables

The Medicaid Eligibility Specialist assists Valley clients and community members with the application process for all Medicaid programs, including General Assistance and Food Stamps. The Specialist monitors all steps of the process and ensures the delivery of excellent customer service and support.

Essential Functions

• Gathers and submits all required Medicaid-related documents for benefit determination, and follows up throughout the application process to ensure approval
• Partners with the Department of Workforce Services (DWS) to ensure Valley clients receive application assistance from their dedicated DWS Case Worker
• Assists Valley clients and other community members with the completion of their annual benefit reviews with DWS
• Works with the Quality Assurance team and the Medicaid Eligibility Manager to ensure compliance with all related and applicable regulatory requirements regarding Medicaid funding
• Collaborates with Valley councils and committees to track and report all clinical outcomes
• Develops and maintains collaborative working relationships with DWS, external payers and funding sources, community partners, and other Valley stakeholders

Education

• High School diploma or equivalent

Experience

• None - see Preferred Qualifications

Licenses/Certifications

• None

Preferred Qualifications

• Prior experience with Medicaid programs
• Prior case management experience
• Spanish language skills