About this role
The PACE Benefit Specialist is responsible for engaging, educating, and supporting patients and community members throughout the entire Medicaid lifecycle—from initial application to annual renewals, eligibility checks, and transitions into other qualifying programs such as Medicare, including for individuals eligible due to age or disability. This role plays a vital part in ensuring access to Medicaid coverage and continuity of care by maintaining timely follow-up, conducting ongoing eligibility monitoring, verifying resources during intake, and facilitating effective communication with patients and internal teams. The specialist also participates in regular Medicaid team meetings to support coordinated care efforts and improve enrollment outcomes.
Required Qualifications:
- Requires a high school diploma or GED with a minimum of three years of experience working with Virginia financial assistance programs. Must demonstrate sufficient knowledge to determine and redetermine eligibility for Long Term Care Medicaid benefits in accordance with state, local, and federal guidelines, regulations, and policies.
- Ability to communicate effectively, orally and in writing, with broad spectrum of individuals including but not limited to patients, caregivers, state/federal agencies and medical professionals.
- Ability to comprehend and apply policies and regulations for public assistance programs, sufficient to make eligibility determinations.
- Strong computer and analytical skills
Preferred Qualifications:
- Certification as a Certified Application Counselor (CAC), Virginia Medicaid Enrollment Assister, or related credential is a plus.
- Familiarity with managed care organizations (MCOs) operating in Virginia and their roles in Medicaid coverage.
Salary Range: $20.47 - $29.69/Hourly Rate