Medicaid Eligibility Specialist II — In-Office

State-of-South-Carolina; South Carolina; Presencial; USD 42.000 - 54.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Dental insurance

Vision insurance

Life insurance

Descripción de la vacante

The South Carolina Department of Health and Human Services is seeking an Eligibility Specialist II (MAGI) to determine and re-determine Medicaid eligibility in an in-office role in Charleston County. The position emphasizes reviewing documentation from applicants to ensure accurate and timely eligibility determinations, with a focus on customer service and proper documentation.

The role requires a high school diploma (bachelor's degree may substitute for experience) and proficiency with

Formación

• High school diploma and relevant program experience in customer services or Medicaid processing.
• Bachelor's degree may substitute for required program experience.
• Familiarity with computers and Microsoft Office.
• Ability to read, write, and speak English clearly in a professional office setting.

Responsabilidades

• Determine and redetermine Medicaid MAGI eligibility per policies.
• Collect and evaluate documentation from applicants and third parties.
• Complete determinations, reviews, and changes accurately and timely.
• Maintain notes and documentation for reviews and hand-offs.

Conocimientos

Medicaid eligibility

Customer service

Office environment

Data entry / documentation

English proficiency

Educación

High school diploma

Bachelor's degree substitution

Herramientas

Microsoft Office

Internet browsers

Case management systems

Descripción del empleo

The South Carolina Department of Health and Human Services is seeking an Eligibility Specialist II (MAGI) to determine and re-determine Medicaid eligibility in an in-office role in Charleston County. The position emphasizes reviewing documentation from applicants to ensure accurate and timely eligibility determinations, with a focus on customer service and proper documentation.

The role requires a high school diploma (bachelor's degree may substitute for experience) and proficiency with