Medicaid Eligibility Specialist

The Jacobson Group; United States; Remote; USD 28,000 - 40,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) retirement savings

Job summary

The Jacobson Group is seeking an Medicaid Eligibility Specialist in the United States to assess eligibility for Medicaid enrollment and to communicate rules to members, acting as a liaison with state agencies. You will assist redeterminations, gather documentation, and maintain accurate logs in Salesforce for timely processing.

Responsibilities include handling inquiries from members, brokers, and caseworkers, following up on applications, and ensuring high‑quality service across internal

Qualifications

• 3+ years of professional experience (preferred in a managed care environment)
• Working knowledge of Medicaid eligibility requirements
• Excellent interpersonal skills

Responsibilities

• Conduct eligibility assessments for Medicaid enrollment.
• Communicate Medicaid rules and regulations to members and prospective members.
• Serve as a liaison between members and the appropriate state agency.
• Assist existing members with Medicaid redetermination and gather required documentation.
• Initiate follow-up to ensure timely processing of applications and documents with members and caseworkers.
• Maintain logs of Medicaid eligibility and complete re‑determinations.
• Document progress notes in Salesforce for member or prospect files.
• Answer calls from members, sales reps, and brokers to provide high‑quality service.
• Track client inquiries in internal systems for proper follow-up and resolution.

Skills

Excellent interpersonal skills

Medicaid eligibility knowledge

Job description

Job Description:

The Medicaid Eligibility Specialist is responsible for conducting eligibility assessments for prospective members seeking Medicaid enrollment. This role involves communicating Medicaid rules and regulations clearly to members and prospective members, serving as a liaison between them and the appropriate state agency. The specialist will assist existing members with Medicaid redetermination processes by verifying their eligibility and helping to gather necessary supporting documentation. Additionally, they will initiate and maintain follow‑up with members and caseworkers to ensure timely processing of applications and documentation. Maintaining accurate logs of eligibility status and completing all required re‑determinations are essential functions. The position requires documenting progress notes in Salesforce and fielding various incoming calls with a focus on providing high‑quality service to clients. Keeping track of client inquiries within internal systems is also a key responsibility.

Responsibilities:

• Conduct eligibility assessments of prospective members for Medicaid enrollment.
• Communicate Medicaid rules and regulations to members and prospective members.
• Serve as a liaison between prospective members and the appropriate state agency.
• Assist existing members with Medicaid redetermination processes by verifying eligibility and supporting documentation.
• Initiate and follow up to ensure timely processing of applications and documents with members and caseworkers.
• Maintain logs of Medicaid eligibility and complete all necessary re‑determinations.
• Document progress notes in the member or prospect files within Salesforce.
• Field incoming calls from members, sales representatives, and brokers with a focus on delivering high‑quality service.
• Track client inquiries in internal systems to ensure proper follow‑up and resolution.

Requirements:

• 3+ years of professional experience, preferred in a managed care environment
• Working knowledge of Medicaid eligibility requirements
• Excellent interpersonal skills

Pay Range:

The anticipated pay for this position is $25.00 per hour. We understand salary is an important factor in a job search, and we encourage you to apply even if you feel that your desired compensation may fall outside of the listed range. The final pay for this position is determined based on several factors including but not limited to, relevant experience, skills and certifications, education and training, geographic location, market conditions, and internal equity. We are committed to finding the right candidate for this role and are open to discussing how your unique qualifications align with our needs.

Benefits:

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k) retirement savings plan

Equal Opportunity Employer:

The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at [e-mail] or [phone] to make a request.

Refer a Colleague:

Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus!

Contact:

Karrie Ruch
[e-mail]