Eligibility Specialist

This Eligibility Specialist is responsible for reviewing paratransit application materials, supplemental intake, and professional verification forms, conducting in-person screening for applicants, and performing functional assessments with applicants to determine eligibility for patient paratransit service. This ES is also responsible for maintaining accurate documentation and providing final eligibility determinations to the client.

Responsibilities:

Apply information obtained to determine the patients capability to ride fixed-route transportation independently

Provide required forms to administrative personnel for data entry and eligibility letter generation

Participate in staff meetings with leadership and/or Client

Participate in community outreach and education as needed

Participate in initial and ongoing training

Complete all necessary reports, and paperwork and maintain ongoing applicant tracking logs and reports for Client within the contractual deadline

Process mail-in applications within the contractual deadline as assigned

Assist with conducting phone calls to applicants and providers

Conduct phone interviews, as needed

Input all information into Client software (Trapeze) and other software as appropriate

Build rapport and communicate effectively with personnel including administrators, management, support staff, and applicant while providing high quality customer service

Participate in the appeals process, upon request

Maintain a positive attitude when interacting with individuals, Support Staff, and caregivers

Work with management and the Client to follow through on service issues, troubleshooting problems, concerns, complaints and training

For Contract to Hire and Contract Roles:

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

Medical, dental & vision

Critical Illness, Accident, and Hospital

401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available

Life Insurance (Voluntary Life & AD&D for the employee and dependents)

Short and long-term disability

Health Spending Account (HSA)

Transportation benefits

Employee Assistance Program

Time Off/Leave (PTO, Vacation or Sick Leave)

Skills & Qualifications:

• Ability to work flexible hours

• Ability to adapt to a rapidly changing environment

• Ability to work under limited supervision

• Ability to make clear and factual observations

• Additional language skills are preferred

• Ability to maintain high level of confidentiality

Experience Level:

Intermediate Level

About TEKsystems:

Were partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. Thats the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.