Medicaid Eligibility Specialist II (MAGI) — In-Office

State of South Carolina

Columbia (SC)

On-site

USD 42,000 - 54,000

Full time

7 days ago
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Benefits offered by this job

Health, dental, vision insurance
Sick leave – 15 days annually
Vacation – 15 days annually
13 paid holidays annually
State Retirement Plan & Deferred Comp

Job summary

State of South Carolina is seeking an Eligibility Specialist II (MAGI) to determine Medicaid eligibility and process ongoing reviews. You will gather information from applicants and third parties, evaluate it against policy, and document decisions with clear notes for hand-offs to colleagues.

The role requires attention to accuracy, privacy, and timely processing. The position is in-office, with optional overtime and weekend work subject to Deputy approval, and offers a comprehensive benefits

Qualifications

  • High school diploma and relevant program experience in customer services, social services, human services, and/or Medicaid processing.
  • Bachelor's degree may be substituted for the required program experience.

Responsibilities

  • Collect, assemble, evaluate, and act on information from applicants and third parties to determine eligibility.
  • Make timely eligibility determinations, reviews, and changes of circumstance.
  • Document notes clearly for review and hand-off to other specialists; follow escalation processes as needed.
  • Maintain professional communication and confidentiality per policy and training.

Skills

Customer service
English proficiency
Basic math
MS Office

Education

High school diploma
Bachelor’s degree substitution allowed

Tools

MS Office

Job description

State of South Carolina is seeking an Eligibility Specialist II (MAGI) to determine Medicaid eligibility and process ongoing reviews. You will gather information from applicants and third parties, evaluate it against policy, and document decisions with clear notes for hand-offs to colleagues.

The role requires attention to accuracy, privacy, and timely processing. The position is in-office, with optional overtime and weekend work subject to Deputy approval, and offers a comprehensive benefits

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