Georgia Employer MANAGED CARE REP in Atlanta, Georgia
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life. If you're ready to embrace your passion and do what you love with a company that's committed to supporting your future, then you belong at Change Healthcare. Pursue purpose. Champion innovation. Earn trust. Be agile. Include all. Empower Your Future. Make a Difference.The Managed Care Representative is responsible for providing high quality, client focused service by using (a) extensive knowledge of medical disease process and (b) extensive knowledge of state and federal program requirements to assist Medicaid beneficiaries in the application process for Federal program benefits such as Supplemental Security Income (SSI) or Medicare. The position works directly with individuals by phone. RESPONSIBILITIES *Interview Medicaid beneficiaries by telephone to determine eligibility for Federal disability benefits. *Make a determination of potential eligibility based upon the medical definition of disability as it relates to body systems, functions of daily living and medical record information. *Complete applications for Federal programs, reviewing medical records and taking all necessary action to expedite benefit approval. *Provide assistance to applicants who encounter problems during the application process. *Adhere to company and legal standards regarding Protected Health Information (PHI) and Personal Identifiable Information (PII). *Maintain ongoing communication with government agencies regarding the status of applications as needed. *Maintain detailed documentation of client contacts and application status in Change Healthcare computer systems and web-based applications. *Provide updates and assistance to management and Change Healthcare staff as needed. Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system! Change Healthcare is an Equal Opportunity Employer. Employment at Change Healthcare is based upon your individual merit and qualifications. We don't discriminate on the basis of race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, marital status, protected veteran status or disability, genetic characteristic, or any other characteristic protected by applicable federal, state or local law. We will also make all reasonable accommodations to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability.