Medicaid Eligibility & Customer Support Specialist

Maximus; New Castle (IN); On-site; USD 20,000 - 29,000; Full time

Job summary

Maximus in Indiana seeks a candidate to support Medicaid, SNAP, and TANF programs by screening applications, calculating income, and confirming eligibility. You will interact daily with program participants, collect information, and help maintain service continuity while adhering to policy requirements.

The role emphasizes strong communication, data accuracy, and the ability to handle high call volumes in a fast-paced environment.

Qualifications

• High school diploma or GED required.
• 0-2 years of relevant professional experience required, or equivalent combination of education and experience.
• Proven customer support or Client Service Representative experience strongly preferred.
• Ability to handle complex service inquiries via telephone.
• Strong critical thinking and problem-solving skills.
• Moderate difficulty assignments requiring judgment and issue resolution.
• Understanding of work implications and ability to recommend solutions.
• Accurate data entry (40 keystrokes/minute), strong interpersonal skills.

Responsibilities

• Receive, assess, and screen applications, proactively communicating with clients to collect any outstanding information.
• Validate and calculate income, assess eligibility, and manage case referrals.
• Engage regularly with program participants on a daily basis.
• Potentially educate clients on fundamental program services and eligibility prerequisites.
• Collaborate with clients to establish and attain program objectives, ensuring continuity of services and eligibility.
• Handles high volume of inbound calls daily, answering questions regarding Medicaid, SNAP, and TANF programs.
• Apply State and/or federal eligibility rules for applicant/recipient information assessment.
• Verifies applicant/recipient data through system interfaces.
• Facilitates the fulfillment of caller requests regarding eligibility information via a One Call Resolution approach.
• Communicates with applicants/recipients while researching and updating cases and documenting calls simultaneously.
• Educates callers on program services and eligibility requirements while demonstrating excellent communication and customer service skills.
• Serve as a liaison with customers regularly to meet program goals and maintain program services and eligibility.
• Verifies and enters applicant/recipient data into the State's eligibility system and prepares cases for disposition by State Eligibility Consultant.
• Processes cases and takes necessary action on missing information promptly.
• Meet Quality Assurance and performance metrics and stay updated on project and corporate policies.
• Identify and escalate risks to management.
• Attends all meetings and completes all trainings to stay informed on project/position updates.
• Fulfill all performance requirements associated with eligibility processes.
• Perform additional duties as assigned by management.

Skills

Customer service

Data entry

Verbal communication

Written communication

Problem solving

Time management

Attention to detail

Education

High school diploma or GED

Job description

Maximus in Indiana seeks a candidate to support Medicaid, SNAP, and TANF programs by screening applications, calculating income, and confirming eligibility. You will interact daily with program participants, collect information, and help maintain service continuity while adhering to policy requirements.

The role emphasizes strong communication, data accuracy, and the ability to handle high call volumes in a fast-paced environment.