Program Administration Eligibility Specialist
Company: Sevita
Location: Austin
Posted on: October 15, 2024
Job Description:
D&S Community Services, a part of the Sevita family,
provides community-based services for individuals with intellectual
and developmental disabilities. Here we believe every person has
the right to live well, and everyone deserves to have a fulfilling
career. You'll join a mission-driven team and create relationships
that motivate us all every day. Join us today, and experience a
career well lived. Program Administration Eligibility
Specialist
Location: Austin, TX (in office)
Hourly Rate: $20/hr
Schedule: Monday through Friday 8am-4:30pm
Your Role
- Monitors upcoming financial eligibility renewal dates weekly
via state portal, available reporting (internal or external),
and/or paper mail and communicates to program staff on individuals
with eligibility about to expire
- Enters individual financial eligibility data into system(s)
weekly to assist in accurate reporting and timely billing of
services provided by local staff
- Maintains files with eligibility information by client
- Where Sevita is representative payee, assembles, completes, and
submits applications, appeals, or other forms related to financial
eligibility, partnering with field and other functional teams as
needed for necessary documentation
- Researches complex eligibility issues via payer website or by
phone. Communicates directly with state / payer / other external
partners where needed to resolve outstanding issues or follow-up on
eligibility status
- Communicates with program staff alerting local field or
functional teams of potential blockers, escalations, etc.
preventing financial eligibility from processing timely
- Reviews AR Aging and works with AR team members, functional
partners, or local office staff on resolution of
eligibility-related billing. Prepares supporting documentation for
eligibility related sales adjustments (gap in coverage)
- Where Sevita is not representative payee, supports field with
escalation questions as subject matter expert on state expectations
and timing
- Performs other related duties and activities as required
Qualifications
- Associates degree and one year related administrative support
experience preferred
- An equivalent combination of education and experience which
provides proficiency in the areas of responsibility listed above
may be substituted for the above education and experience
requirements
- In office expectations to-be-established between individual
employee and state leadership, with higher frequency expectations
where processing mail at central office is required Why Join Us
- Full compensation/benefits package for employees working 30+
hours/week
- 401(k) with company match
- Paid time off and holiday pay
- Complex work adding value to the organization's mission
alongside a great team of coworkers
- Enjoy job security with nationwide career development and
advancement opportunities We have meaningful work for you - come
join our team - apply today! Sevita is a leading provider of home
and community-based specialized health care. We believe that
everyone deserves to live a full, more independent life. We provide
people with quality services and individualized supports that lead
to growth and independence, regardless of the physical,
intellectual, or behavioral challenges they face.
We've made this our mission for more than 50 years. And today, our
40,000 team members continue to innovate and enhance care for the
50,000 individuals we serve all over the U.S.
As an equal opportunity employer, we do not discriminate on the
basis of race, color, religion, sex (including pregnancy, sexual
orientation, or gender identity), national origin, age, disability,
genetic information, veteran status, citizenship, or any other
characteristic protected by law.
Keywords: Sevita, New Braunfels , Program Administration Eligibility Specialist, Other , Austin, Texas
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