CLIENT BENEFITS COORDINATOR

$27,976 - $45,822/Yr

BrightSpring Health Services - Arlington, TX

Full-time

Onsite - Arlington, TX

Social Assistance

About the position

The Client Benefits Coordinator at ResCare Community Living plays a crucial role in ensuring that individuals receive the necessary benefits and support services they are entitled to. This position requires a strong multitasker with excellent administrative skills, as the coordinator will be responsible for verifying eligibility for Medicaid and Social Security benefits, overseeing the completion of admission paperwork, and ensuring that all necessary documentation is submitted accurately and timely. The coordinator will work closely with various stakeholders, including clients, the Central Intake team, and the Client Trust Fund Coordinator, to facilitate the admission process and maintain compliance with state regulations. In this role, the coordinator will be tasked with entering admission information into required state systems, managing ongoing verification of benefits, and ensuring that all individuals remain eligible for their benefits while receiving services. This includes completing annual Medicaid redeterminations, filing appeals when necessary, and notifying relevant agencies of any changes in benefits or income. The coordinator will also be responsible for monitoring and managing Room and Board agreements, ensuring that all financial transactions are documented and processed correctly. The position requires a proactive approach to problem-solving, as the coordinator will need to address any issues related to Medicaid eligibility or service authorizations promptly. Additionally, the coordinator will be expected to maintain accurate records and reports, ensuring that all data entry processes are completed efficiently and effectively. This role is essential in supporting the mission of ResCare Community Living to provide high-quality services to individuals with disabilities, ensuring they receive the benefits and support they need to thrive in their communities.

Responsibilities

• Verifies prior to admission that the individual is eligible for Medicaid and has active Medicaid based on referral packet.
• Oversees completion of all admission paperwork found on Central Intake Shared Drive.
• Completes Medicaid application on the day of admission to ensure correct coverage for the specific program.
• Faxes application and maintains verification of transmission.
• Verifies prior to admission if the individual is eligible for Social Security Benefits and completes application if qualified.
• Ensures all individual resources are accounted for prior to admission, such as Burial Trust and life insurance.
• Responsible for entry of benefits and personal spending on Room and Board Agreements.
• Sends PAC form attaching copies of signed room and food documents to Central Intake.
• Ensures all new admission paperwork is completed, including all admission documents listed on attached forms.
• Submits documentation concerning Representative Payee to Client Trust Fund.
• Works with Client Trust Fund Coordinator to set up RFMS Account.
• Assures individuals who qualify are enrolled with the right Medicare Part D provider.
• Completes PAC form for new admission and submits to Central Intake with required information and documentation.
• Enters admission information in required state systems and Interactant.
• Ensures Purpose Code 2 entered by Local Authority matches Interactant.
• Enters Service Authorization and Level of Need begin and end dates into Interactant.
• Completes Room and Board Templates for shared household expenses and enters Applied Income into Interactant.
• Completes initial admission entry into Task Master Pro.
• Ensures all daily revenue drops correctly and matches reported census in Revenue Workbook.
• Opens and assigns RFMS account numbers for benefit direct deposits.
• Checks and responds to Quickbase assignments concerning Medicaid Eligibility or Service Authorization issues.
• Completes Medicaid Redetermination for each individual annually or as needed.
• Files Medicaid Appeals when required within 30-day time frame of decisions.
• Notifies Medicaid or Social Security of any changes in benefits and wages.
• Completes Redetermination for Food Stamps as required.
• Updates Room and Board Templates with changes in food stamps or benefits and prints for signatures.
• Ensures all individuals remain eligible for all benefits at all times while receiving services.
• Communicates to Business Manager all changes to LON based on submitted/approved IDRCs.
• Reviews Quickbase for utilization issues requiring IPC revisions and ensures timely completion of revisions.
• Reviews RFMS K-2 report in Quickbase to ensure resources are within Medicaid Limits and ensures planned spending occurs timely.
• Notifies Social Security Administration of any ongoing/future income changes.
• Completes annual SSA Income report and monitors Room & Board for non-payee individuals.
• Changes Medicaid providers to assure physician needs are covered under the right group.
• Runs monthly MESAV by the 4th day of the month and uploads information on ineligibility reports to Quickbase.
• Uploads Utilization report and Unbillable Report issues monthly into Quickbase.
• Identifies expired Medicaid, expiring IDRCs, and IPCs needing revisions.
• Enters all ongoing service authorizations into state systems and Interactant.
• Notifies operations of all inaction with regards to 2K report prior to end of month.

Requirements

• Must have a High School diploma or GED equivalent.
• Two years of related office management or bookkeeping experience; Human Resources experience preferred.
• Must be proficient with Microsoft Word and Excel.