Hybrid Remote Medicaid Eligibility Specialist – Pennsylvania (Work‑From‑Home & On‑Site) – Entry‑Level Healthcare Benefits Coordination Role

```html Who We Are – Transforming Home‑Based Care Across America Founded in 2016, Freedom Care is a trailblazing healthcare organization that is redefining how home‑care services reach families in need. As the largest consumer‑directed home‑care agency in New York State, we have expanded our footprint to multiple states, including Pennsylvania, by pairing compassionate, highly‑trained caregivers with patients who deserve dignity, respect, and independence while receiving care at home. Our innovative blend of technology, patient‑centered philosophy, and robust community partnerships fuels a culture where every team member is empowered to make a tangible difference in the lives of the individuals we serve. Why This Role Matters – The Heartbeat of Our Service Delivery The Medicaid Eligibility Specialist is the linchpin that connects patients with the financial resources they need to access Freedom Care’s premium services. By expertly navigating Pennsylvania’s Medicaid landscape—eligibility criteria, spend‑down requirements, and recertification cycles—you will expedite enrollment, protect continuous coverage, and ensure that our clients receive the care they deserve without interruption. In short, your work directly influences the speed, efficiency, and quality of care delivery, making you an essential partner in our mission to bring “dignity and support” to every home. Key Responsibilities – What Your Typical Day Looks Like Medicaid Eligibility & Client Guidance

• Provide clear, empathetic explanations of Medicaid eligibility requirements, benefits, and spend‑down thresholds to prospective and existing clients.
• Respond promptly to client inquiries via phone, email, or secure messaging platforms, ensuring each interaction reflects our core value of Here For You.
• Identify alternative resources—such as state‑run assistance programs or charitable funds—to bridge gaps when clients fall short of eligibility criteria.
• Conduct educational webinars or one‑on‑one sessions that demystify Medicaid applications, renewal processes, and coverage options.

Medicaid Renewal & Recertification Management

• Monitor renewal timelines for every active client and proactively reach out 30‑45 days before expiration.
• Guide clients through the collection and submission of required documentation, minimizing delays and preventing coverage lapses.
• Maintain a rigorous tracking system in Salesforce to flag upcoming deadlines, overdue renewals, and any anomalies that may affect eligibility.
• Collaborate with legal and compliance teams to ensure all renewals meet state and federal regulations.

Documentation, Data Integrity & Reporting

• Enter, update, and verify client information in Salesforce with a focus on accuracy, confidentiality, and compliance.
• Design and maintain detailed eligibility & spend‑down process reports, providing leadership with actionable insights on enrollment trends, bottlenecks, and success metrics.
• Audit case files on a quarterly basis to guarantee that all documentation aligns with Pennsylvania Medicaid guidelines.
• Develop streamlined templates for eligibility verification that reduce administrative time and improve consistency across the team.

Stakeholder Communication & Advocacy

• Serve as the primary point of contact for Medicaid‑related questions from clients, caregivers, and health‑plan partners.
• Advocate on behalf of clients with government agencies, ensuring their concerns are heard and resolved swiftly.
• Partner with case managers, clinical staff, and billing teams to address coverage discrepancies, appeals, and complex eligibility scenarios.
• Facilitate regular cross‑functional meetings to keep all parties informed of policy updates, program changes, and best practices.

Training, Collaboration & Continuous Improvement

• Lead internal training sessions on Medicaid verification procedures, updates to Pennsylvania regulations, and best practices for client communication.
• Mentor new hires and junior team members, fostering a supportive learning environment aligned with our value of Own It.
• Participate in process‑improvement initiatives, contributing ideas that enhance efficiency, reduce errors, and elevate the client experience.
• Build strong relationships with local government agencies, community organizations, and advocacy groups to stay ahead of policy shifts.

Essential Qualifications – What You Bring to the Table

• Education: Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or a related discipline

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