Eligibility & Financial Redetermination Rep

Responsibilities

The Eligibility & Financial Redetermination Representative is responsible for assisting participants and their families/caretaker(s) in the annual redetermination process for Medicaid which includes the process of obtaining documentation, providing participants with resources and assisting in necessary paperwork/documentation of all necessary forms. Completes all re-determinations for InnovAge PACE participants assigned 30 days before case due date. Monitors the Medicaid aging report and works to clear aged items in a timely manner. Communicates the policies and procedures of Long Term Medicaid, Spousal Impoverishment, and Trusts to participants in a way that is easily understood by participants, families and caregiver(s). Performs home visits and/or Day Center visits to complete all Medicaid redeterminations within required time frames in a manner that is most convenient and efficient for the participant. Assists participants, families and caretaker(s) in completing necessary paperwork needed for Medicaid re-determination including collaborating with county government technicians to assess additional documentation needed. Documents work and outcomes in the Participant Tracking System Record of Contact Notes and in the department tracking model. Organizes case load and working area in an efficient manner that allows information to be accessed when not available. Completes disenrollment forms for HMO’s and forward to supervisor in a timely manner. Processes participant/Intake/social worker housing forms and completes new supporting housing forms for all RV’s if there is a differential in income.

Requirements

Required Current knowledge of the Medicaid system/benefits in addition to community resources that are available to seniors and their families. High School diploma or GED required. Requires a valid state issued driver’s license, personal transportation, good driving record and auto insurance as required by law

Preferred

Bi-lingual

Benefits

InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model.

Additional Information

InnovAge is committed to maintaining a safe, transparent, and respectful hiring process for all candidates. Please be aware that all legitimate email communication regarding InnovAge job opportunities will come exclusively from an email address ending in @innovage.com. At No Point In Our Hiring Process Will InnovAge Request payment from candidates for equipment, background checks, onboarding, training, or any other employment-related purpose Ask for financial information (such as bank account details) before a formal offer and onboarding process is completed through our official systems If you receive a message claiming to represent InnovAge that does not align with the above, it may be fraudulent. We encourage you to exercise caution and refrain from engaging or sharing personal information. If you believe you have been contacted by someone misrepresenting InnovAge, please report the activity to HRAnswers@innovage.com or apply directly through our official career site to ensure the opportunity is legitimate. Your trust matters to us, and we appreciate your interest in joining InnovAge.