Eligibility Specialist - Call Center

Automated Health Systems, Inc.; Fort Collins (CO); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

401(k)

Employee wellness program

Training and career growth avenues

Job summary

Automated Health Systems is seeking an Eligibility Specialist to support the Wyoming Medicaid Customer Service Center Project. This remote role may require occasional pickup at our Cheyenne, WY location, with duties focused on eligibility processing and member service.

You will document interactions, stay current on Wyoming Medicaid policies, and triage calls while delivering respectful, confidential support to applicants and members.

Qualifications

• Associate degree in Human Services or related field preferred, or equivalent experience.
• 2+ years of customer service or healthcare industry experience required.
• Knowledge of Medicaid and Wyoming Department of Health policies preferred.
• Strong communication, computer, and conflict resolution skills.
• Bilingual skills are a plus.
• Ability to perform light physical activity in an office setting.

Responsibilities

• Process eligibility applications and resolve applicant/member issues
• Complete outreach and follow-up activities
• Document interactions in state and project systems
• Triage calls to the appropriate agency or business unit
• Provide respectful, confidential, high-quality customer service
• Stay current on Wyoming Medicaid policies and procedures
• Assist with assigned projects and related duties

Skills

Customer service experience

Healthcare industry experience

Communication skills

Computer skills

Conflict resolution

Bilingual skills (nice-to-have)

Education

Associate degree in Human Services or related field

Job description

Automated Health Systems is seeking an Eligibility Specialist to support the Wyoming Medicaid Customer Service Center Project. This position is remote but will require you to pick up at our location in Cheyenne, WY.

• Health, dental, and vision insurance
• 401(k)
• Employee wellness program
• Training and career growth opportunities

Responsibilities

• Process eligibility applications and resolve applicant/member issues
• Complete outreach and follow-up activities
• Document interactions in state and project systems
• Triage calls to the appropriate agency or business unit
• Provide respectful, confidential, high-quality customer service
• Stay current on Wyoming Medicaid policies and procedures
• Assist with assigned projects and related duties

Qualifications

• Associate degree in Human Services or related field preferred, or equivalent experience
• 2+ years of customer service or healthcare industry experience required
• Knowledge of Medicaid and Wyoming Department of Health policies preferred
• Strong communication, computer, and conflict resolution skills
• Bilingual skills are a plus

Office environment with light physical activity, including occasional lifting, bending, reaching, squatting, and kneeling.

Automated Health Systems is an Equal Opportunity Employer.

Salary Range

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