Medicaid Navigator

Job Description

Job Description

The Medicaid Navigator will be responsible for assisting clients with the Missouri Medicaid Application process.

Duties and responsibilities

• Meet with clients to prepare Missouri Medicaid applications and documentation
• Maintain Missouri Medicaid Presumptive Eligibility active filing status
• Monitor application process and respond with pending items promptly
• Communicate to agency partners, client and billing team of eligibility response
• Maintain accurate records of eligibility determinations and related documentation
• Maintain ShowMe FSD trainings through MEDES and FAMIS
• Stay updated on changes in MO Medicaid Regulation that may impact eligibility criteria
• Other administrative duties as assigned

Qualifications

Working conditions

General Conditions- Work is generally performed in office type settings where answering phone and using computers persistently and other technology should be expected.

No special conditions apply.

Physical requirements

General Conditions- Job duties may require sitting or standing for long periods of time. Travel, with some trips requiring several hours in a vehicle, should be expected. Minor lifting and moving may be expected requiring ability to lift up to 20 pounds.

No special conditions apply.

Direct reports

None

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