Remote Medicaid Specialist in Kalamazoo, Michigan at Integrated Services of Kalamazoo

Do you enjoy using your knowledge & skill set to help make a meaningful difference in your community? Would you like to be a valuable member of a diverse, dedicated team working toward a shared mission? If so, we invite you to explore an exciting opportunity for you to work as a full-time (40hrs/wk.) Remote Medicaid Specialist where your work directly supports positive outcomes for local populations.

What You Will Be Doing
As a Medicaid Specialist you will act as the primary ISK liaison with MDHHS Shared Eligibility Specialist and obtain information for reasons Medicaid coverage ended, updating clinicians/primary programs via the Medicaid Teams Channel, Medicaid Tracking workbook(s), and/or email. You will implement policies, procedures and instructions for agency approved practices regarding Medicaid enrollment, including Medicaid Spenddown.

Your responsibilities will include coordinating data collection and reporting for loss of Medicaid and Spenddown deductible plans, managing Medicaid benefit information to assist in gaining/recouping loss of Medicaid and performing data entry on Medicaid Tracking workbook(s) to ensure workbook integrity.

This role is responsible for viewing GF claims provided by Financial Analyst to verify whether claims should be covered by Medicaid and providing feedback for the Financial Analyst. You will utilize knowledge of Medicaid rules to procedures and inquiries and maintain documentation electronically.

What We Require

You will have a High school Diploma/GED with minimum three years of experience with Medicaid, Medicare and/or Insurance billing.

Must be detailed oriented and possess excellent verbal and written communication skills.

Advanced computer skills, including word processing, spreadsheets, database management and e-mail.

Ability to prioritize tasks and manage time in an effective and efficient manner.

Lived experience with behavioral health issues is also preferred.

Who We Are

Integrated Services of Kalamazoo (ISK) has been delivering quality services and programs to improve the lives of those we serve for over 30 years. ISK works with youth, families, and adults with mental illnesses, intellectual and developmental disabilities, and substance use disorders to help them succeed. We provide welcoming and diverse community partnerships which collaborate and share resources to support individuals and families to be successful and achieve their goals in a trauma-informed environment.

Why Work For ISK

Because we make a difference in the lives of the individuals we serve in the Kalamazoo community every day. You will have the opportunity to work with amazing co-workers in an environment that values diversity, inclusion, work/life balance and encourages ongoing education for professional development.

We also offer a competitive compensation and benefits package, with some of the best retirement plans in southwest Michigan. You will also enjoy 12 paid holidays, prorated Personal Time, 23 days of PTO and the opportunity to earn additional PTO hours for participating in our wellness program! Kalamazoo is also the home of the Kalamazoo Promise!

Come Join Us!

Individuals of diverse racial, ethnic, and cultural backgrounds along with bilingual candidates are invited to apply. ISK is an equal opportunity employer that encourages diversity and inclusion among its workforce. ISK fomenta la diversidad y la inclusión.

We look forward to meeting you!

Physical Requirements / Working Conditions: Must be able to perform essential job functions with or without reasonable accommodations, including, but not limited to, visual and/or audiological appliances and devices to increase mobility.

Physical Efforts – Job demands include prolonged sitting and standing. Requires light lifting up to 25 pounds, stooping, kneeling, crouching, or bending. Requires coordination of hands and/or eye/hand/foot and ability to hear and communicate verbally.

Working Conditions – Remote or Hybrid position. In office environment with noise from computers, copy machine, and telephones. Use of computer for periods in excess of 30 minutes at a time. May be exposed to bloodborne pathogens, infectious diseases, and parasites.