Medicaid Eligibility Specialist II - In-Office (Region 4)

State of South Carolina; Florence (SC); Vor Ort; USD 42.000 - 64.000; Vollzeit

Benefits dieser Stelle

Health, dental, vision insurance

Paid time off (vacation)

Sick leave and holidays

State retirement plan

Life insurance

Zusammenfassung

State of South Carolina is hiring an Eligibility Specialist II (Senior Level, Non-MAGI) for the Localized Eligibility Processing region. The role determines Medicaid eligibility and collects necessary documents, using agency systems to ensure timely and accurate determinations for eligible individuals and families.

The position is in-office, located in Region 4 Counties (including Florence), with required trainings and compliance with privacy and policy standards.

Qualifikationen

• High school diploma or equivalent required with relevant program experience.
• Bachelor's degree may substitute for the required program experience.
• Must be able to read, write, and speak English clearly and concisely.

Aufgaben

• Determine and redetermine Medicaid eligibility per policies and procedures.
• Collect and evaluate documentation from applicants to determine eligibility.
• Follow procedures for documentation collection and escalation when needed.
• Document notes clearly in the systems of record for review and hand-off.
• Attend mandatory trainings and maintain required certifications.

Kenntnisse

Customer service

Reading/writing English

Microsoft Office

Ausbildung

High school diploma

Tools

Microsoft Office

Jobbeschreibung

State of South Carolina is hiring an Eligibility Specialist II (Senior Level, Non-MAGI) for the Localized Eligibility Processing region. The role determines Medicaid eligibility and collects necessary documents, using agency systems to ensure timely and accurate determinations for eligible individuals and families.

The position is in-office, located in Region 4 Counties (including Florence), with required trainings and compliance with privacy and policy standards.