Eligibility Specialist

Easterseals MORC is hiring for an Eligibility Specialist to help make a difference and become part of something bigger than yourself!

We are looking for Game Changers!

The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.

Benefits of Being a Superhero!

Benefits:

• Low-cost Dental/Health/Vision insurance
• Dependent care reimbursement, and up to 5 days paid FMLA for maternity, paternity, foster care and adoption.
• Generous 401K retirement plan
• Paid Leave Options Available
• Up to $125 bonus for taking 5 days off in a row.
• 10 paid holidays and 3 floating holidays (Over 30 days total of paid time off)
• Wellness Programs
• We are a PSLF (Public Service Loan Forgiveness) Employer.
• We provide bonuses and extra incentives to reward hard work & dedication.
• Mileage reimbursement in accordance with IRS rate.
• Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi.
• Student loan repayment options
• Pet Insurance

Qualifications:

• High School Diploma or Equivilent
• At least 2 years experience with Medicare Enrollment preferred

Duties and Responsibilities:

1. Demographic Information Collection: Interviews consumers, families, guardians, service providers, employers and various governmental agencies to obtain information to determine financial liability

2. Completes financial determinations, verifies and researches insurance information and enters all insurance benefits on-line to the department’s billing system to allocate charges to first party payers, produce first party bills and maintain accounts receivable

3. Conducts special studies and surveys in such areas as feasibility of offering new services, improvement of efficiency and economy

4. Gathers financial information for the determination of ability to pay for cost of care

5. Community Contact Regarding Consumer Financial Status: Contacts financial institutions, insurance companies and various governmental agencies and programs to determine and enroll consumers in benefit programs to reimburse for mental health services provided

6. Testifies at appeal hearings regarding financial liability

7. Collects and reviews consumer information to obtain and maintain Medicaid coverage

8. Provides liaison activities with governmental agencies, consumers, providers, parents/guardians and others regarding reimbursement matters

Easterseals MORC was awarded Metro Detroit and West Michigan 101 Best & Brightest Companies to Work For!