Medicaid Eligibility & Enrollment Navigator

Radiant Health; Marion (IN); On-site; USD 48,712,000 - 58,741,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Employee assistance program

Flexible spending account

Health insurance

Health savings account

Life insurance

Paid time off

Tuition reimbursement

Vision insurance

Job summary

Radiant Health in Indiana seeks a Medicaid Eligibility & Enrollment Specialist to guide clients through applications, determinations, and enrollment. You will collect information, verify documents, and submit to state systems, ensuring timely processing and accurate records.

The role requires attention to HIPAA and confidentiality, with emphasis on coordination with providers and agencies to secure coverage and renewals for individuals and families.

Qualifications

• High school diploma or equivalent required.
• Associate or Bachelor's degree preferred in social work, healthcare administration, or related field.
• Experience with Medicaid or health insurance enrollment is a plus.

Responsibilities

• Conduct client intake and eligibility pre-screening for Medicaid programs.
• Assist with application completion by collecting personal, financial, and household information.
• Gather and verify documentation to support eligibility criteria.
• Submit and track applications in state systems within required timelines.
• Provide ongoing case support including renewals and updates.
• Coordinate with providers, case coordinators, and state agencies for service continuity.
• Maintain HIPAA-compliant, accurate records and stay updated on Medicaid policies.

Skills

Data entry

Interpersonal communication

HIPAA compliance

Detail orientation

Time management

Education

High school diploma or equivalent

Associate or Bachelor's degree preferred

Tools

Computer literacy

Job description

Radiant Health in Indiana seeks a Medicaid Eligibility & Enrollment Specialist to guide clients through applications, determinations, and enrollment. You will collect information, verify documents, and submit to state systems, ensuring timely processing and accurate records.

The role requires attention to HIPAA and confidentiality, with emphasis on coordination with providers and agencies to secure coverage and renewals for individuals and families.