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Medicaid Application Site Manager

Expired Job

Peak Vista Community Health Colorado Springs , CO 80928

Posted 3 months ago

Peak Vista Community Health Centers is a non-profit healthcare organization whose mission is to provide exceptional healthcare to people facing access barriers. We provide primary care services (medical, dental and behavioral healthcare) through 28 outpatient health centers in El Paso, Teller, Lincoln, Adams, Arapahoe, Elbert, and Kit Carson counties.

We deliver care with our strong "Hospitality" culture. Our organization has over 850 employees and serves over 92,000 patients in the Pikes Peak and East Central Plains region. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Job Summary (Essential Functions)

Responsible for overall management of the Medicaid application site and developing and implementing policies and procedures in each area of the department. Be familiar with all daily duties of each area within the department.

Assure compliance with external program requirements. Stay current on program changes and update staff and other departments in PVCHC of changes. Represent Peak Vista appropriately at external meetings.

Maintain adequate staff levels, conducting trainings as needed to ensure quality staff performance. Update and distribution control of the Quality Assurance Policy. Provide planning to meet customers' quality requirements.

Determining items to evaluate within the process. Approval of quality work instructions. Determining the evaluation process for issues identified.

Monitoring procedures to assure compliance. Reviewing and maintaining quality assurance reporting. Corrective Action Coordination. Performs other duties as assigned.

Supervision Received: Director of Client Services

Supervision Exercised: Medicaid/CBMS Trainers, Determination Quality Assurance, Medicaid Application Specialists

Qualifications

Education: High School diploma or equivalent experience required. Bachelor's Degree preferred.

Work Experience: Extensive knowledge of CBMS as well as working knowledge of Medicaid and CHP+. Proven track record as an implementation specialist. Strong Customer Service skills.

Cognitive Skills (Language, Math, Reasoning Ability): Must have excellent written and oral communication skills, and strong customer service skills.

Computer Skills:
Expert knowledge on computer programs, Word and typing ability required.

Other Skills:
Ability to work independently and work on project teams required.

Certificates & Licenses: N/A

Physical Demands

Frequent standing and walking, occasional long periods of sitting, moderate bending, moderate energy requirements, and frequent fine motor skills. Looking at computer screen continuously for long periods of time, hearing within normal range. Must be able to lift 20 pounds.

  • Successful candidates will need to complete pre-employment screening; which includes, but is not limited to a Criminal Background check.
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VIEW JOBS 11/8/2018 12:00:00 AM 2019-02-06T00:00 Peak Vista Community Health Centers is a non-profit healthcare organization whose mission is to provide exceptional healthcare to people facing access barriers. We provide primary care services (medical, dental and behavioral healthcare) through 27 outpatient health centers in El Paso,Teller, Lincoln, Adams, Arapahoe, Elbert and Kit Carson counties. We deliver care with our strong "Hospitality" culture. Our organization has over 850 employees and serves over 92,000 patients in the Pikes Peak East Central Plains region. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC). Job Summary (Essential Functions) Responsible for intake and processing of Medicaid/CHP+ and Medicare Savings Program applications. Scanning and recording applications within the ShareFile system. Determining eligibility for Health First Colorado (Medicaid)/CHP+, and Medical Savings program applications and investigating eligibility of Medicaid)/CHP+ in CBMS. Make and receive telephone calls, transfer calls to appropriate departments and other client service duties. Support many internal departments by providing quality customer service. Ability to relocate to other sites if appointed. Follow all process implemented at the MA Site to include determine eligibility, collect required documentation, meet reporting requirements and assist community partners as needed. Meet benchmarks established by State Health Care Policy and Financing and Medicaid Application Site Manager. Stay current on program changes and update staff and other departments in PVCHC changes. Represent Peak Vista appropriately at external meetings. Performs other duties as assigned. Supervision Received: MA Site Manager Supervision Exercised: none Reliable transportation is required. Ability to work overtime. Qualifications Education: High School diploma or equivalent required. Work Experience: Customer Service, Health First Colorado (Medicaid)/CHP+ experience a plus. Cognitive Skills (Language, Math, Reasoning Ability): Verbal communication, basic math and the ability to defuse tense situations required. Computer Skills: Basic computer knowledge required. Other Skills: Ability to work both as a team and also independently required. Certificates & Licenses: CBMS Access (within 90 days of hire) Physical Demands Frequent standing and walking, occasional long periods of sitting, moderate bending, moderate energy requirements, and frequent fine motor skills. Looking at computer screen continuously for long periods of time, hearing within normal range. Must be able to lift 20 pounds. * Successful candidates will complete pre-employment screening; which includes, but is not limited to a Criminal Background check. Peak Vista Community Health Centers is an Equal Opportunity Employer and a drug and alcohol free workplace. Peak Vista Community Health Colorado Springs CO

Medicaid Application Site Manager

Expired Job

Peak Vista Community Health