Eligibility Specialist

Easterseals MORC is hiring for an Eligibility Specialist to help make a difference and become part of something bigger than yourself! 

We are looking for Game Changers!

The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.

Benefits of Being a Superhero!

Benefits: 

• Low-cost Dental/Health/Vision insurance


• Dependent care reimbursement, and up to 5 days paid FMLA for maternity, paternity, foster care and adoption.


• Generous 401K retirement plan


• Paid Leave Options Available


• Up to $125 bonus for taking 5 days off in a row.


• 10 paid holidays and 3 floating holidays (Over 30 days total of paid time off)


• Wellness Programs


• We are a PSLF (Public Service Loan Forgiveness) Employer.


• We provide bonuses and extra incentives to reward hard work & dedication.


• Mileage reimbursement in accordance with IRS rate.


• Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi.


• Student loan repayment options


• Pet Insurance

1. Demographic Information Collection: Interviews consumers, families, guardians, service providers, employers and various governmental agencies to obtain information to determine financial liability

2. Completes financial determinations, verifies and researches insurance information and enters all insurance benefits on-line to the department’s billing system to allocate charges to first party payers, produce first party bills and maintain accounts receivable

3. Conducts special studies and surveys in such areas as feasibility of offering new services, improvement of efficiency and economy

4. Gathers financial information for the determination of ability to pay for cost of care

5. Community Contact Regarding Consumer Financial Status: Contacts financial institutions, insurance companies and various governmental agencies and programs to determine and enroll consumers in benefit programs to reimburse for mental health services provided

6. Testifies at appeal hearings regarding financial liability

7. Collects and reviews consumer information to obtain and maintain Medicaid coverage

8. Provides liaison activities with governmental agencies, consumers, providers, parents/guardians and others regarding reimbursement matters

9. Researches services to meet consumer’s monthly Medicaid deductibles, prepares reports and monitors Department of Human Services processing activity

10. Reviews monthly Medifax report to ensure Medicaid coverage is maintained

11. Processes financial determinations at least annually, which includes generating letters and financial liability notification to appropriate parties

12. Provides verification of shelter expenses quarterly to the Department of Human Services to secure food stamps, in Consumer Finance Assistant’s absence

13. Verifies residential placements to ensure appropriate benefits

14. Compiles and prepares confidential reports, correspondence and other documents

15. Review of Accounts Receivable: Reviews, and maintains accounts receivable and billing records for follow-up with first party payers for payment

16. Makes recommendations to supervisor as to uncollectible first party accounts

17. Determines and recommends financial liability, payment plans, and county liability for consumers receiving mental health services

18. Reviews quarterly A/R report for accuracy and collection of outstanding balances

19. Works cooperatively with multiple departments to ensure A/R accuracy

20. Customer Satisfaction: Maintains contact with customers including but are not limited to: Consumer, families, and guardians; Providers; Employees

21. All customer related services and reports are delivered within specific timeframes as established by standards of practice

22. All customer related services are coordinated and meet the individual’s needs and expectations

23. Services are rendered in a dependable and reliable manner

24. All interaction with customers are conducted with dignity and respect

25. Assists and directs visitors within the agency