Medicaid Enrollment & Eligibility Specialist

Mindlance; Texas; In loco; USD 45.000 - 65.000; Tempo pieno

Descrizione del lavoro

Mindlance is seeking a detail-oriented Eligibility and Enrollment Specialist to verify health coverage, document benefits, and coordinate information for Medicaid applications and related eligibility operations.

The role involves handling high-volume inbound/outbound calls, providing enrollment assistance for the HIPP/Premium Assistance program, accurate data entry, and timely processing to support revenue growth and program efficiency. A high school diploma is required.

Competenze

• Minimum 2 years of experience in insurance industry, health care or government sponsored health insurance to include customer service and medical billing knowledge or similar math related experience.
• Minimum 2 year experience working on the phone making inquiries (outbound) and answering calls (inbound).
• Call Center Experience Preferred
• Human Resources or Health Insurance Experience preferred
• Bilingual Preferred
• Knowledge of health care terminology is a plus.

Mansioni

• Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members.
• Verify, document, and investigate the presence of health care coverage for Medicaid recipients and their families.
• Assist in the identification of members that may qualify for the HIPP/Premium Assistance program.
• Complete periodic reports.
• Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program.
• Data entry to include accurate and timely entry of information.
• Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program.
• Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.

Conoscenze

Customer service

Communication

Data entry

Microsoft Word

Excel

HIPAA knowledge

Teamwork

Formazione

High School Diploma or equivalent

Strumenti

Microsoft Word

Excel

Descrizione del lavoro

Mindlance is seeking a detail-oriented Eligibility and Enrollment Specialist to verify health coverage, document benefits, and coordinate information for Medicaid applications and related eligibility operations.

The role involves handling high-volume inbound/outbound calls, providing enrollment assistance for the HIPP/Premium Assistance program, accurate data entry, and timely processing to support revenue growth and program efficiency. A high school diploma is required.