Benefits Eligibility Navigator

Brightli; Quincy (IL); On-site; USD 25,000 - 32,000; Full time

Benefits offered by this job

PTO 29 days

Comprehensive benefits

401(k) with match

Company-paid life insurance

FSA

EAP

Wellness program

Employee discounts

Job summary

Centerstone in Quincy, IL seeks a Benefits Eligibility Advocate to guide clients through Medicaid enrollment, renewal, and eligibility education. The role combines advocacy, client support, and administrative duties to remove barriers to care and align with revenue cycle goals.

You will document, verify, and submit required materials, coordinate with care teams, and stay current on Medicaid regulations to ensure compliant practice and timely determinations.

Qualifications

• High school diploma or equivalent required.
• Minimum two years in Medicaid enrollment/benefits advocacy or related field.
• Valid driver's license, driving record, and current auto insurance.

Responsibilities

• Guide clients through Medicaid application, enrollment, and renewal.
• Educate on eligibility, benefits, and responsibilities.
• Submit initial Medicaid applications accurately and promptly.
• Track progress and follow up with FSD for timely determinations.
• Coordinate renewal appointments and document submission with clients.
• Collaborate with staff to ensure complete application information.
• Monitor status and identify coverage gaps or lapses.
• Serve as liaison between clients and FSD to resolve issues.

Skills

Medicaid eligibility

Customer service

Communication

Confidentiality

Office software

Education

High school diploma or equivalent

Associate degree in Social Services or Healthcare Administration

Tools

Microsoft Office

Electronic Health Records (EHR)

Database systems

Job description

Job Description:

Benefits Eligibility Advocate

Centerstone | Quincy, IL
Full-Time | Monday-Friday | 8:00 AM-5:00 PM

Make a Meaningful Impact by Helping People Access Healthcare Coverage

At Centerstone, we believe everyone deserves access to the care and resources they need to thrive. As a Benefits Eligibility Advocate, you will play a critical role in helping individuals and families navigate the Medicaid enrollment and renewal process, ensuring they maintain access to essential healthcare services.

This position combines advocacy, client support, and administrative expertise to remove barriers to care while supporting organizational and revenue cycle goals.

If you are detail-oriented, compassionate, and passionate about helping others access healthcare benefits, we'd love to hear from you!

Position Perks & Benefits

• Pay: $18.50 - $23.00/hr
• 29 Days of PTO for full-time employees
• Comprehensive Benefits Package (health, dental, vision, life, retirement + more)
• 403(b) with up to 5% match
• Company-paid life insurance
• Flexible Spending Accounts (FSA)
• Employee Assistance Program (EAP)
• Wellness & Employee Discount Programs
• Supportive team environment with opportunities for growth and skill development

What You’ll Do

• Guide clients through the Medicaid application, enrollment, and renewal process.
• Educate individuals and families about Medicaid eligibility requirements, benefits, and responsibilities.
• Complete and submit initial Medicaid applications accurately and efficiently.
• Track application progress and proactively follow up with the Family Support Division (FSD) to ensure timely determinations.
• Review Medicaid reauthorization reports and coordinate renewal appointments with clients.
• Collect, verify, and submit required documentation to support eligibility and continued coverage.
• Collaborate with direct care staff and internal teams to ensure accurate and complete application information.
• Monitor Medicaid status for assigned clients and promptly identify coverage gaps or lapses.
• Serve as a liaison between clients, staff, and the Family Support Division to resolve issues and answer questions.
• Stay current on Medicaid rules, regulations, and policy changes to maintain compliance and best practices.
• Support revenue cycle and client access initiatives through accurate eligibility management.

What You’ll Bring

Knowledge, Skills, and Abilities

• Strong understanding of Medicaid eligibility guidelines, enrollment processes, and benefit programs.
• Exceptional attention to detail and ability to manage multiple priorities in a fast-paced environment.
• Excellent customer service, communication, and interpersonal skills.
• Ability to build trust and communicate effectively with diverse populations.
• Strong critical thinking and problem-solving abilities.
• Ability to work independently while collaborating effectively with multidisciplinary teams.
• Proficiency with Microsoft Office Suite, electronic health records, and database systems.
• Ability to maintain confidentiality and handle sensitive information with professionalism.

Qualifications

Required

• High school diploma or equivalent.
• Minimum of two years of experience in Medicaid enrollment, benefits advocacy, healthcare access, case management, revenue cycle, social services, or a related field.
• Valid driver's license, acceptable driving record, and current automobile insurance.

Preferred

• Associate degree in Social Services, Healthcare Administration, Human Services, Business Administration, or a related field.
• Experience working in behavioral health, healthcare, community-based services, or social service organizations.
• Knowledge of Illinois Medicaid programs and the Family Support Division (FSD).
  

Position Perks & Benefits:

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more

Top-notch training: initial, ongoing, comprehensive, and supportive

Career mobility: advancement opportunities/promoting from within

Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Brightli is on a Mission:

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer.

Preferred Family Health Care is a Smoke and Tobacco Free Workplace.