In-Office Medicaid Eligibility Coordinator I

South Carolina DDSN; South Carolina; Vor Ort; USD 38.000 - 52.000; Vollzeit

Zusammenfassung

The South Carolina Department of Health and Human Services seeks an Eligibility Coordinator I (Non-MAGI) in Specialty Unit A, Richland County. This in-office role requires handling Medicaid eligibility determinations, TEFRA, BCCP, and related waivers with accuracy and discretion.

Responsibilities include information gathering, timely reviews, and collaboration with DDSN, DHEC, and other stakeholders. Strong communication, organization, and confidentiality are essential.

Qualifikationen

• High school diploma or equivalent required; a bachelor’s degree may substitute for experience.
• Two or more years of Medicaid eligibility policy experience preferred.
• Experience with MEDS or Curam is highly desirable and beneficial.

Aufgaben

• Determine and redetermine Medicaid eligibility for assigned cases within the Specialty Unit.
• Communicate with applicants, providers, and agencies to obtain needed information.
• Ensure accurate documentation and timely determinations in the systems of record.
• Maintain professional interactions and confidentiality per policy and law.
• Participate in required trainings and follow escalation procedures when needed.

Kenntnisse

Communication skills

Organizational skills

Professionalism

Confidentiality

Ausbildung

High school diploma or equivalent

Bachelor's degree substitution for experience

Tools

MEDS

Curam

Windows

MS Word

MS Excel

Jobbeschreibung

The South Carolina Department of Health and Human Services seeks an Eligibility Coordinator I (Non-MAGI) in Specialty Unit A, Richland County. This in-office role requires handling Medicaid eligibility determinations, TEFRA, BCCP, and related waivers with accuracy and discretion.

Responsibilities include information gathering, timely reviews, and collaboration with DDSN, DHEC, and other stakeholders. Strong communication, organization, and confidentiality are essential.