Hybrid MaineCare Eligibility Specialist I

MaineGuide; Augusta (ME); Hybrid; USD 26,000 - 36,000; Full time

Benefits offered by this job

13 paid holidays

Vacation leave

Health insurance coverage

Retirement plan

Job summary

Department of Health and Human Services (DHHS) in Augusta is seeking an Eligibility Specialist I to determine MaineCare eligibility and benefits. You will assist residents in navigating health coverage, ensuring accuracy and timeliness in processing information in a fast-paced, service-oriented environment.

The role emphasizes clear explanations of MaineCare rules, customer service, and collaboration with diverse communities, with a hybrid in-office requirement.

Qualifications

• Two-year combination of training, education, and/or experience in a health or human services setting.

Responsibilities

• Evaluate information and apply program standards to accurately determine MaineCare eligibility and benefits.
• Use multiple technology systems to enter, review, and verify eligibility-related data and documentation.
• Clearly explain MaineCare rules, requirements, and decisions to applicants and members—both in writing and over the phone.
• Review and process information received electronically or by mail to ensure completeness and compliance.
• Connect individuals with additional programs and services that may support their health and well-being.

Skills

Eligibility determination

Customer service

Data entry

Communication

Tools

MaineCare systems

Job description

Department of Health and Human Services (DHHS) in Augusta is seeking an Eligibility Specialist I to determine MaineCare eligibility and benefits. You will assist residents in navigating health coverage, ensuring accuracy and timeliness in processing information in a fast-paced, service-oriented environment.

The role emphasizes clear explanations of MaineCare rules, customer service, and collaboration with diverse communities, with a hybrid in-office requirement.