Medicaid Eligibility Coordinator

State of South Carolina; Columbia (SC); On-site; USD 42,000 - 58,000; Full time

Benefits offered by this job

Health insurance

15 days annual leave

15 days sick leave

13 paid holidays

State Retirement Plan

Job summary

The State of South Carolina is seeking an Eligibility Coordinator I (Non-MAGI) to determine and re-determine Medicaid eligibility for TEFRA, BCCP, TB, and PCSC Waiver in the Specialty Unit A, Richland County. This in-office role requires strong customer service and compliance with privacy laws.

Ideal candidates will have knowledge of MEDS/Curam, good communication skills, and the ability to manage documentation and deadlines while coordinating with other agencies.

Qualifications

• High school diploma and relevant program experience.
• Bachelor's degree may be substituted for the required program experience.
• Preferred: Two years of Medicaid eligibility experience; MEDS or Curam familiarity.
• Valid driver's license; occasional travel.
• In-office role in Richland County, SC.

Responsibilities

• Determine/re-determine Medicaid eligibility for TEFRA, BCCP, TB, and PCSC Waiver.
• Collect and analyze information with minimal burden to the applicant while following policies.
• Ensure timely determinations with proper documentation and escalation as needed.
• Provide technical assistance and/or training to staff and external agencies.

Skills

Medicaid policy knowledge

Eligibility determinations

Documentation & records management

Communication skills

Confidentiality

Time management

Customer service

Education

High school diploma

Bachelor's degree substitution allowed

Medicaid eligibility experience

Tools

MEDS

Curam

Windows/Word/Excel

Job description

The State of South Carolina is seeking an Eligibility Coordinator I (Non-MAGI) to determine and re-determine Medicaid eligibility for TEFRA, BCCP, TB, and PCSC Waiver in the Specialty Unit A, Richland County. This in-office role requires strong customer service and compliance with privacy laws.

Ideal candidates will have knowledge of MEDS/Curam, good communication skills, and the ability to manage documentation and deadlines while coordinating with other agencies.