About Unified Community Connections:

Unified Community Connections is a leading provider of services and programs for people with intellectual and developmental disabilities in Maryland. We believe that all people living with disabilities have the right to be treated with respect and dignity as well as to exercise the same control over their lives as any other person.

We provide comprehensive, wrap-around services tailored to the unique needs of each person and family we support. Our programs are designed to assist individuals with disabilities in achieving the quality of life they seek. We promote self-determination, independence, productivity, integration and inclusion in all facets of life.

Who Should Apply:

This position is ideal for someone who is detail-oriented, organized, and passionate about helping others. The right candidate enjoys problem-solving, navigating benefit and eligibility systems, and advocating for people with disabilities. They should be comfortable managing multiple deadlines, working collaboratively with case managers and state agencies, and maintaining confidentiality and accuracy in all documentation. Experience with Medicaid, Social Security, or health insurance processes is a plus, as is a genuine commitment to Unified’s mission of promoting inclusion, dignity, and independence for every person we serve.

Essential Tasks and Responsibilities: In a manner consistent with supporting Unified Community Connections’ Mission Statement, the Compliance and Eligibility Specialist will perform the following functions:

Complete Representative Payee documentation and address any issues with the Social Security Administration as needed.
Understand and navigate DDA and EDD waiver processes to assist clients with Medicaid re-determination and recertification, ensuring all required documentation is submitted on time. If the waiver is denied appeal and reapply.
Monitor re-determination dates through LTSS, MD MyThink, and Eligibility Determination Division (EDD) correspondence to ensure ongoing benefit eligibility.
Create and maintain electronic health records for medical accounts using clients’ designated email addresses.
Assist clients in obtaining or maintaining health insurance coverage, including Medicaid, Medicare, and marketplace plans. Contact appropriate agencies to request replacement cards or resolve issues related to cancellations, incorrect information, or coverage lapses.
Coordinate the acquisition or renewal of essential identification documents, such as government-issued IDs, Social Security cards, and birth certificates.
Maintain accurate, up-to-date, and confidential client records, ensuring timely updates to all benefit-related files.
Collaborate with case managers, social workers, and external agencies to promote client well-being and ensure continuity of care.
Adhere to HIPAA regulations to protect client confidentiality and personal information.
Monitor and follow up on emails to ensure timely communication and task completion.
Other duties and responsibilities as required or assigned by management.

Supervisory Responsibilities: None

Qualifications: To successfully perform this position, the employee must be able to effectively carry out all essential duties and responsibilities. The following qualifications outline the knowledge, skills, and abilities required for success in this role:

Strong understanding of the DDA and EDD processes as they relate to Medical Assistance (Medicaid), Medicare, Social Security, and health insurance procedures.
Proven ability to demonstrate skills in problem-solving, project and task management, time management, dependability, sound judgment, safe work practices, and maintaining confidentiality.
Ability to travel as needed and to work collaboratively and effectively with others.

Education: High School Diploma or GED. Must be at least 18 years of age.

Language Skills: Ability to read and comprehend simple instructions and written correspondence. Ability to effectively communicate with others including individuals served by Unified (as appropriate), co-workers, and vendors both verbally and in written form.

Mathematical Skills: Ability to add, subtract, multiply, divide and measure.

Computer Skills: Demonstrated proficiency in Microsoft applications and electronic records.

Computer Skills: Demonstrated proficiency in Microsoft applications and electronic records system (training provided).

Certificates, Licenses, Registrations: Successful completion of various training courses offered by Unified, as scheduled, but no later than no later than first ninety (90) days of employment. Attend additional in-service training as required.

Training: Must complete, pass and maintain all DDA required training. Must complete, pass, and maintain all Unified Community Connections upon hire and on a recurring basis as requested or required.

Work Environment: Office setting with varying degrees of background noise. Light and ventilation as found in typical office settings. At Unified, we are committed to providing a safe working environment for all employees and to prevent all work-related injuries and illnesses.

This job description is not intended to be all-inclusive. Therefore, the employee may be requested to perform other reasonable, related duties as assigned by the immediate supervisor or other management as required.

UNIFIED reserves the right to revise or change job duties at its discretion. It is mutually agreed that the job description does not constitute a written or implied contract of employment. It is also understood that the organization reserves the right to change work schedules at their discretion.

Unified Community Connections

Latest Jobs

Compliance and Eligibility Specialist