Eligibility Specialist - Credentialed

Easterseals MORC Logo; Pontiac, Southfield, Walled Lake (MI, MI, MI); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Dependent care reimbursement

Paid Leave Options

Up to $125 bonus for taking 5 days off

10 paid holidays and 3 floating days

Wellness Programs

PSLF Employer

Mileage reimbursement

Student loan repayment options

Pet Insurance

Job summary

Easterseals MORC is seeking a Credentialed Eligibility Specialist to support individuals with Medicaid, Healthy Michigan Plan, and SSI/SSDI applications and renewals. The role focuses on eligibility monitoring, documentation gathering, and coordinating with care teams to ensure access to benefits.

The position emphasizes proactive enrollment follow-up, minimizing disenrollment, and helping clients navigate complex eligibility systems. A valid MI driver’s license is required.

Qualifications

• Bachelor’s degree in a related field.
• At least 1 year of full-time experience in behavioral health, case management, Medicaid eligibility, benefits navigation, healthcare access, revenue cycle, or related human services role.
• Must possess and maintain a valid Michigan driver’s license and current auto insurance.
• Experience completing or supporting Medicaid, Healthy Michigan Plan, SSI/SSDI, or other public-benefit applications preferred.
• QMHP or QIDP certification preferred.
• SOAR Training preferred.

Responsibilities

• Assist individuals with applications, renewals for Medicaid, Healthy Michigan Plan, Social Security benefits, patient assistance programs, and other entitlements.
• Monitor benefit status and gather documentation, coordinating with care teams and public agencies.
• Prevent procedural disenrollment, restore coverage when gaps occur, and ensure payer of last resort status.
• Meet with individuals to assist with applications and renewals for applicable benefits.
• Coordinate eligibility support at intake and throughout services to confirm benefits have been initiated, secured, and maintained.
• Monitor ongoing benefits and coverage status to support continuity of care.
• Gather and review financial, identity, residency, disability, and supporting documentation for applications and renewals.
• Explain notices, renewal requirements, verification requests, deadlines, and next steps clearly.
• Track applications, renewals, verifications, denials, closures, and reinstatement activity in designated systems.
• Identify individuals at risk and take timely follow-up action.
• Assist with reapplication, reconsideration, reinstatement, or referral for appeal if coverage is denied.

Skills

Valid Michigan driver’s license

SOAR Training

Medicaid/Healthy Michigan Plan

Education

Bachelor’s degree in Human Services or related field

Bachelor’s degree in Psychology or related field

Bachelor’s degree in Social Work or related field

Job description

Job Category: Adm Support - CSR/Reception/Asst/Schedulers

Easterseals MORC is hiring for aCredentialed Eligibility Specialistto help make a difference and become part of something bigger than yourself!

We are looking for Game Changers!

The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.

Benefits of Being a Superhero!

• Dependent care reimbursement, and up to 5 days paid FMLA for maternity, paternity, foster care and adoption.
• Paid Leave Options Available
• Up to $125 bonus for taking 5 days off in a row.
• 10 paid holidays and 3 floating holidays (Over 30 days total of paid time off)
• Wellness Programs
• We are a PSLF (Public Service Loan Forgiveness) Employer.
• We provide bonuses and extra incentives to reward hard work & dedication.
• Mileage reimbursement in accordance with IRS rate.
• Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi.
• Student loan repayment options
• Pet Insurance

Qualifications:

• Possess a Bachelor’s degree from an accredited college or university with a major in Psychology, Social Work, Human Services, Healthcare Administration, Public Health, or a related area.
• At least one (1) year of full-time experience in behavioral health, case management, Medicaid eligibility, benefits navigation, healthcare access, revenue cycle, or a related human services role.
• Must possess and maintain a valid Michigan driver's license and current auto insurance.
• Experience completing or supporting Medicaid, Healthy Michigan Plan, SSI/SSDI, or other public-benefit applications preferred.
• QMHP or QIDP certification preferred.
• SOAR Training preferred

Duties and Responsibilities:

The Eligibility Specialist - Credentialed assists individuals receiving behavioral health services with applications, renewals, and follow-up for Medicaid, Healthy Michigan Plan, Social Security benefits, patient assistance programs, and other available entitlements. The position monitors benefit status, helps gather financial and supporting documentation, coordinates with care teams and public agencies, and serves as a resource for navigating complex eligibility systems. The Specialist works proactively to prevent procedural disenrollment, restore coverage when gaps occur, and help ensure Easterseals MORC remains the payer of last resort.

• Meet with individuals to assist with applications and renewals for Healthy Michigan Plan, Medicaid, Social Security SSI/SSDI, patient assistance programs, and other applicable benefits.
• Coordinate eligibility support at intake and throughout services to confirm that appropriate benefits have been initiated, secured, and maintained.
• Monitor ongoing benefits and coverage status to support continuity of care and ensure Easterseals MORC remains the payer of last resort.
• Gather and review financial, identity, residency, disability, and other supporting documentation required for applications and renewals.
• Explain eligibility notices, renewal requirements, verification requests, deadlines, and next steps in a clear and understandable manner.
• Track applications, renewals, pending verifications, denials, closures, and reinstatement activity in designated systems and reports.
• Identify individuals at risk of procedural disenrollment or loss of coverage and take timely follow-up action.
• Assist with reapplication, reconsideration, reinstatement, or referral for appeal support when coverage is denied or terminated.

Qualifications

Education

Preferred

Bachelors or better in Human Services or related field.

Bachelors or better in Psychology or related field.

Bachelors or better in Social Work or related field.

Licenses & Certifications

Preferred

Qual Int Disability Prof

Qual Mental Health Prof

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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