Medicaid Eligibility Specialist
New
H
Helper HeroesHealthcare
Philippines, Regular Working Hours in CSTPart-TimeMiddle
Salary6.5 USD per hour
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Job Details
- Experience
- 1+ years
- Required Skills
- Customer service
Requirements
- 1+ years of working with Medicaid & waiver programs.
- Strong communication and customer-service skills.
- Excellent organization, follow-up, and attention to detail.
- Strong critical-thinking and problem-solving ability.
- Ability to learn and interpret Medicaid and waiver eligibility requirements.
- Comfortable managing a large, fast-moving caseload.
- Proficient with databases, spreadsheets, communication platforms, and web-based systems.
- Able to work independently and maintain accurate documentation.
Responsibilities
- Screen and prequalify a high volume of prospective Medicaid and waiver applicants.
- Explain DHS eligibility rules, requirements, and approval processes.
- Assist qualified applicants in completing applications accurately and gathering required documentation.
- Identify potential eligibility barriers and help applicants address them.
- Monitor application progress, deadlines, requests for information, and eligibility decisions in state systems.
- Maintain accurate applicant records, statuses, notes, and follow-up.
- Assist applicants experiencing delays, denials, or loss of eligibility.
- Communicate effectively with applicants, families, DHS representatives, and internal teams.
- Manage hundreds of prospective and active applicants at various stages of the process.
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