Medicaid Eligibility Specialist II

State-of-South-Carolina; South Carolina; On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Health, dental, vision

PTO: 15 vacation days

Sick leave 15 days

Holidays 13

State retirement plan

Job summary

South Carolina Department of Health and Human Services seeks an Eligibility Specialist II (MAGI) for its in-office Midlands processing center. Responsibilities include determining Medicaid eligibility, collecting documents, and documenting decisions in the system with clear notes for hand-off to colleagues.

The role requires strong customer service, familiarity with computers, MS Office, and English proficiency, plus willingness to work overtime or weekends with Deputy approval.

Qualifications

• Experience determining eligibility and documenting case notes in a timely manner.
• Ability to collect and evaluate documentation for Medicaid eligibility.
• Proficiency with computers and standard office software, and clear English communication.

Responsibilities

• Determine or redetermine Medicaid eligibility per policies and procedures.
• Collect and analyze applicant information and third-party documentation.
• Record notes clearly in the system and communicate with beneficiaries and coworkers.
• Attend mandatory meetings and trainings as required.

Skills

Customer service

Medicaid processing

English proficiency

Reading/writing English

Education

High school diploma

Bachelor's degree substitution

Tools

Microsoft Office

Job description

South Carolina Department of Health and Human Services seeks an Eligibility Specialist II (MAGI) for its in-office Midlands processing center. Responsibilities include determining Medicaid eligibility, collecting documents, and documenting decisions in the system with clear notes for hand-off to colleagues.

The role requires strong customer service, familiarity with computers, MS Office, and English proficiency, plus willingness to work overtime or weekends with Deputy approval.