Job: Operations Coordinator

SUMMARY
This position is responsible for, but not limited to:
1) Obtaining Medicaid eligibility for Long Term Care Diversion (Tango) applicants. Responsibilities include: assess Medicaid eligibility, complete Medicaid application forms, process and track Medicaid eligibility applications.
2) Supporting the operation of the Long Term Care Diversion Program through various administrative activities.
3) Taking a proactive approach in developing and meeting company needs and growth goals in a timely manner. Assist with community outreach.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Expedite Medicaid eligibility process via telephone and home visits with Long Term Care Diversion applicants and their representatives.

Assist applicants in completing Medicaid application and obtaining necessary documentation.

Submit and track applications to Dept. of Children and Families, and maintain current information in database.

Follow-up to ensure application process is successful and timely.

Refer issues and concerns about applicants to supervisor or designated individual as soon as identified.

Coordinate activities with Medicaid Financial Planners, Attorneys, and internal staff.

Educate applicants, potential clients, and others about Plan policies, program and services when contacts result in questions or concerns.

Assist applicants in identifying community resources and applying for other required programs (i.e. Veterans Benefits).

Assist with recoupment for service expenditures from unsuccessful applicants.

Conduct activities that promote membership growth and retention.

Ensure activities meet regulatory requirements, and company / department policies.

Communicate on a timely basis with applicants, providers, government agencies, and community organizations, and build relationships.

Coordinate and resolve eligibility issues (including existing members) in a timely manner.

Refer applicants who are not Medicaid eligible to appropriate resources.

Assist in meeting department goals.

Prepare timely and accurate reports.

Assist care managers in accordance with Department of Elder Affairs guidelines.

Answer Department’s phone calls promptly, provide accurate information and redirect if appropriate.

Explain the program to potential applicants and referral sources and promote enrollment in the program.

Coordinate member reimbursement for Part D Copayments.

Assemble new case records and member orientation packets.

Coordinate mail and assist with mail outs.

Perform administrative duties such as coordinating supplies for staff, monitoring inventory, and maintaining an organized office.

Participate in community outreach events including health fairs and other events that promote the organization favorably.

Maintain cooperative relationships with others.

Other duties as assigned.

QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Excellent organizational skills.
• Able to relate and interact effectively with seniors and others.
• Excellent presentation and communication skills.
• Must be personable.
• Bilingual skills a plus.
• Maintain high level of professionalism.
• Detail oriented.
• Ability to work autonomously.
• Computer literacy.
• Must have car available for use.
• Valid Florida Drivers License.

EDUCATION and/or EXPERIENCE

High School diploma required with two or more years of health related experience.
College degree preferred.
Experience in Medicaid eligibility.