Bilingual Medicare & Medicaid Eligibility Advocate

Centauri Health Solutions, Inc.; Oregon; Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health coverage

Wellness program

Life insurance

401(k) match

Tuition reimbursement

PTO

Holidays

Floating holiday

Training & equipment

Bonus program

Volunteer time off

Referral bonus

Career development

Job summary

Centauri Health Solutions, Inc. is seeking empathetic Medicare/Medicaid Eligibility Specialists (MMES) to support members in navigating government benefits.

You will verify eligibility, assist with enrollment, and document information across several systems while maintaining a patient-focused approach. The role emphasizes compassionate calls, accuracy, and adherence to regulatory standards, with a structured schedule Monday through Friday in EST.

Qualifications

• 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.
• Fluent in Spanish (speaking, reading, writing).
• Comfort navigating multiple screens, Microsoft Teams, and Outlook while documenting in real time.
• Ability to handle high-volume phone-based interactions with empathy.
• Knowledge of Medicaid, Medicare, SCHIP, or SNP is a plus.

Responsibilities

• Compassionate conversations: make and receive calls with members needing to apply for or obtain or retain Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).
• Determine if individuals are eligible for Medicaid or LIS benefits and explain regulations in simple terms.
• Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification.
• Maintain strict adherence to HIPAA, state regulations, and company compliance standards.
• Database navigation: manage multiple software systems to track member progress and documentation.
• Schedule: Monday to Friday, 11am to 7:30pm EST (9am to 5:30pm MST).

Skills

Spanish fluency

Healthcare experience

Eligibility screening

Case management

Customer service

Tech-savvy

Microsoft Teams

Outlook

Tools

Microsoft Teams

Outlook

Job description

Centauri Health Solutions, Inc. is seeking empathetic Medicare/Medicaid Eligibility Specialists (MMES) to support members in navigating government benefits.

You will verify eligibility, assist with enrollment, and document information across several systems while maintaining a patient-focused approach. The role emphasizes compassionate calls, accuracy, and adherence to regulatory standards, with a structured schedule Monday through Friday in EST.