Medicaid Eligibility Specialist II (LTC) - In-Office

State of South Carolina; Mary (SC); On-site; USD 42,000 - 54,000; Full time

Job summary

The South Carolina Department of Health and Human Services is seeking an Eligibility Specialist II (LTCW) to determine Medicaid eligibility and process case reviews in an in-office setting in Horry County. You will collect documents, assess eligibility, and maintain clear case notes for hand-off to teammates.

Candidates should have a high school diploma (a bachelor's degree can substitute) and be proficient with computers, MS Office, and English communication.

Qualifications

• High school diploma plus relevant program experience in customer or Medicaid processing.
• Bachelor's degree may substitute for required experience.
• Familiarity with computers, MS Office, internet browsers, and clear English communication.
• Ability to perform basic mathematical computations and work in an office setting.

Responsibilities

• Determine/re-determine Medicaid eligibility per policies and procedures.
• Collect and evaluate documentation from applicants to determine eligibility.
• Maintain clear notes and hand-off documentation for reviews.
• Ensure timely determinations with appropriate follow-up.
• Maintain professional conduct and confidentiality in line with policy.

Skills

English communication

Customer service mindset

Attention to detail

Education

High school diploma or equivalent

Bachelor's degree may substitute

Tools

Microsoft Office

Internet browsers

Job description

The South Carolina Department of Health and Human Services is seeking an Eligibility Specialist II (LTCW) to determine Medicaid eligibility and process case reviews in an in-office setting in Horry County. You will collect documents, assess eligibility, and maintain clear case notes for hand-off to teammates.

Candidates should have a high school diploma (a bachelor's degree can substitute) and be proficient with computers, MS Office, and English communication.