Benefits & Entitlement Associate- Community Guardian Program at Jewish Association for Services for the Aged

New York, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Mar, 26

Salary

0.0

Posted On

10 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medicaid Eligibility, Financial Interviews, Documentation, Benefits Coordination, Long-Term Care, Communication, Organizational Skills, Policy Monitoring, Client Education, Case Management Systems, Fair Hearing Processes, Income Obligations, Asset Transfers, Payer Requirements, Cultural Competence, Social Work

Industry

Non-profit Organizations

Description

Shift Schedule: Monday-Friday: 9AM-5PM Hours Per Week: 35 General Responsibilities: The Community Guardian Program (CGP) Benefits and Entitlement Associate is responsible for managing the full Medicaid eligibility and benefits process for CGP clients, including collecting and reviewing financial documents, screening for eligibility, filing and tracking applications and conversions, and coordinating with DSS, MLTC plans, families, attorneys, and financial institutions. The role also resolves issues such as NAMI calculations, income redirects, fair hearings, and recertifications, ensuring residents maintain appropriate coverage and that all financial and legal requirements are met accurately and on time. Primary Responsibilities: * Conduct financial interviews and obtain all required authorizations and documentation for Medicaid applications. * Processes all initial applications for benefits and entitlements in a timely manner. * Participate in relevant training and seminars to stay informed about current trends and changes within the benefits/entitlements system. * Prepare, file, and track Medicaid, Medicare Premium applications, and annual recertifications. * Communicate and follow up with CGP and DSS caseworkers; complete budget corrections when needed with CGP case workers. * Escort clients to various government and city agencies (Social Security Administration, HRA- * Public Assistance, Medicaid and Food Stamp offices. * File and attend Medicaid fair hearings when necessary. * Educate CGP caseworkers on income obligations, payer requirements, and signature needs. * Monitor new developments and remain abreast of public policy issues relevant to changes in client benefits and entitlements. * Participate in CGP Interdisciplinary Team meetings to support care planning and discharge needs. Qualifications: * An undergraduate degree in business, social work, social or human services, or a related field. * Strong organizational and documentation abilities. * Working knowledge of Medicaid eligibility rules, including income/resource limits, spend-down rules, * allowable and non-allowable asset transfers, and documentation requirements. * Familiarity with Medicaid and other entitlement applications, recertifications, notices, and workflows * used by HRA and NYS county DSS offices. * Understanding of payer sources used in long-term care, including Medicare, MLTC, MMC, private * insurance, and HMOs. * Basic familiarity with guardianship, and representative authority and their relevance to Medicaid * applications. * Ability to interpret financial notices, verification requests, and budget calculations issued by DSS/HRA. * Understanding of fair hearing processes, including filing, preparation, and support. * Prior experience in Medicaid, benefits coordination, or long-term care eligibility required; experience * in long-term care strongly preferred. * Computer proficiency, including case management systems. * Strong written and verbal communication skills. * Ability to interact with families, colleagues, and external partners professionally and courteously. * Commitment to equity, inclusion, and cultural competence when serving diverse older adult populations. JASA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, genetic information, or any other protected classification under federal, state, or local law.

Responsibilities

The Benefits and Entitlement Associate manages the Medicaid eligibility and benefits process for clients, including collecting financial documents and coordinating with various stakeholders. They also resolve issues related to income calculations and ensure compliance with financial and legal requirements.