Remote Bilingual Medicare & Medicaid Eligibility Specialist (Advocate)

Centauri Health Solutions, Inc.; Tempe (AZ); Remote; USD 52,000 - 78,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401(k) plan with company match

Paid time off

Holidays

Job summary

Centauri Health Solutions, Inc. is hiring a Remote Bilingual Medicare & Medicaid Eligibility Specialist (Advocate). The role focuses on empathetic member support to determine eligibility for Medicaid, MSP, and LIS, while ensuring accurate enrollment and adherence to HIPAA and regulations.

The position operates remotely with a Monday–Friday 11am–7:30pm EST schedule and requires strong Spanish fluency. The company emphasizes compassionate conversations, thorough documentation, and high-quality

Qualifications

• Bilingual Spanish required; speak, read, and write fluently.
• 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.
• Knowledge of Medicaid, Medicare, SCHIP, or SNP is a plus.

Responsibilities

• Handle calls with members applying for or obtaining Medicaid, MSP, LIS.
• Explain complex regulations in simple, warm terms when needed.
• Gather and verify personal and financial details for enrollment and recertification.
• Maintain HIPAA and regulatory compliance.
• Navigate multiple software systems to track progress and documentation.
• Schedule: Mon–Fri, 11:00–19:30 EST (9:00–17:30 MST).

Skills

Fluent Spanish

Empathy

Strong communication

Tools

Microsoft Teams

Outlook

Job description

Remote Bilingual Medicare & Medicaid Eligibility Specialist (Advocate)

Virtual

Job Description

Posted Friday, July 24, 2026 at 4:00 AM

Who We Are

Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care.

Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications.

Your Daily Mission (What You’ll Do)

AtCentauri Health Solutions, wedon’tjust process applications; we serve as a lifeline. For many Medicare members, a single phone call with ourteamcan meanpotentiallysavingon Medicare Premiums. We are looking for empathetic, driven individuals to join us asMedicare/Medicaid Eligibility Specialists (MMES). If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here. You will be the voice of support and a trusted guide for members navigating the often-confusing world of government benefits.

• CompassionateConversations:Make and receive calls withmembers needing to apply for orobtain orretainMedicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).
• The "Human Translator":Determineif individuals are eligible for Medicaid or LIS benefits through a series of simple questions.When needed, explaincomplex regulations and eligibility requirements in simple, warm, and patient terms.
• Application Mastery:Gather and verify sensitive personal and financial details to ensure 100%accurateenrollment and recertification.
• Regulatory Standards:Maintainstrict adherence to HIPAA, state regulations, and company compliance standards.
• Database Navigation:Simultaneously manage multiple software systems and databases to track member progress and documentation.
• Schedule will be Monday to Friday, 11am to 7:30pm EST (9am to 5:30pm MST)

The Ideal Advocate (Who You Are)

You are the person friends and family turn to when they need help with something complicated.

• Fluent in Spanish (speak, read, write)
• Experience:2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.
• Subject Matter Interest:Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus.
• Tech-Savvy: You are comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing,maintaininga warmconversationand documenting information in real time.
• Patience:Youremaincalm and professional, when faced with obstacles you see these moments as opportunities to build trust.
• Critical Thinker:You can manage difficult conversations and use probing questions to clarify information and find solutions.

The Reality of the Role (Transparency Matters)

To thrive in this position, you should enjoy a structured, performance-driven environment.

• High-Volume Engagement:This is a phone-based role. You will spend your day making and receiving calls.
• Scripted Excellence:To ensure total compliance, you will work within well-defined procedures. Your creativity comes from your tone and empathy while following the process.
• Goal-Oriented:You will be expected to meet daily and weekly production and quality goals.Efficiency allows us to help more people.
• Bonus: You will be eligible to receive bonus payments for exceptional performance.

Why You’ll Love Centauri (Our Promise to You)

We believe that caring for our members starts with caring for our team, and we are committed to providing a rewarding environment where employees can grow, excel, and achieve both personal and professional goals.

• Comprehensive medical, dental, vision, and prescription coverage
• Wellness program supporting overall well-being
• Company-paid basic life and AD&D insurance
• 401(k) plan with company match
• Paid time off for vacation and illness
• Six paid company holidays
• Floating holiday
• Company-paid training and computer equipment
• Performance-based bonus program
• Paid time off for volunteer activities
• Employee referral bonus program
• Career development and training opportunities, including leadership growth

Compensation Transparency

Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.

Equal Employment Opportunity and Accommodation

Centauri Health Solutions is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.