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Medicaid Representative II

Baltimore, MD

Posted: 09/14/2018 Employment Type: Full Time Industry: Other Job Number: A

Job Description:
Medicaid Representative II will assist consumers in applying for health insurance and perform duties related to processing applications for Medicaid in Maryland Health Connection (MHC). MRII will verify information, determine eligibility and explain the Medicaid program along with Health Choice information.
The primary responsibilities for this position are:

  • Assist consumers in applying for Medicaid insurance and refer consumer to the Connector team or other local agencies as needed
  • Provides consumers with system navigation assistance and Health Choice Information
  • Accepts and processes all VCL items related to applications in MHC
  • Resolves issues from various state reports and MHC worker queue
  • Distributes and reviews customer satisfaction surveys
  • Uploads documents into MHC
  • Data entry within various systems
  • Investigates and resolves consumer issues
  • Tracks monthly productivity
  • Completes referrals and CTAD requests from internal and external partners
  • Processes 1184 newborn forms within MHC
  • Processes emergency Medicaid cases within CARES
  • Checks voice mail, answers phones, and return calls within 24 hours
  • Utilization of special subject matter expertise
  • Perform other duties as needed


  • High School Diploma
  • Data entry experience
  • Customer service skills
  • Excellent organizational skills
  • Good oral and communication skills
  • Ability to meet deadlines and work in multiple databases

Physical Requirements:

  • Ambulate 3 blocks or more
  • Key data
  • Sit for extended periods
  • Lift at least 15 lbs.

Rachel Amarti

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