Remote Medicaid Eligibility & Enrollment Specialist

SGS Consulting; Virginia Beach (VA); Remote; USD 52.000 - 76.000; Vollzeit

Zusammenfassung

SGS Consulting in Virginia Beach seeks a Medicaid Eligibility Specialist to process complex cases, assist clients with enrollment, and apply policies accurately. You will work remotely, collaborating with management and training teams, while maintaining precise records and confidentiality.

The role requires high school diploma or GED, 4+ years of relevant experience (or equivalent), and ability to work from Virginia with reliable internet. Bilingual English/Spanish is preferred.

Qualifikationen

• High school diploma or GED required.
• 4+ years of relevant professional experience or equivalent.
• Associate degree with 2+ years of relevant experience preferred.
• Experience in eligibility, enrollment, healthcare, Medicaid, customer service, or related field preferred.
• Must be able to work remotely from Virginia.
• Reliable wired home internet service required.

Aufgaben

• Process Medicaid eligibility and enrollment cases.
• Assist clients with program connection and eligibility inquiries.
• Research and work on appeals as assigned by supervisors.
• Apply eligibility policies accurately and consistently.
• Serve as SME on eligibility policies and processes for the team.
• Understand and communicate impact on other teams and workflows.
• Track project status, deadlines, deliverables, and due dates.
• Collaborate with project managers on initiatives and projects.
• Provide administrative and operational support for assigned projects.
• Maintain records and documentation related to cases and activities.
• Follow Medicaid policies, procedures, and quality standards.
• Communicate effectively with clients, team members, and management.
• Maintain confidentiality of sensitive client information.
• Meet productivity and attendance expectations during training and work.

Kenntnisse

Customer service

Policy understanding

Time management

Communication skills

Remote work

Bilingual English/Spanish

Attention to detail

Research complex cases

MS Office familiarity

Independent & collaborative work

Ausbildung

High school diploma or GED

Associate degree preferred

4+ years of relevant experience

Tools

Microsoft Office

Jobbeschreibung

SGS Consulting in Virginia Beach seeks a Medicaid Eligibility Specialist to process complex cases, assist clients with enrollment, and apply policies accurately. You will work remotely, collaborating with management and training teams, while maintaining precise records and confidentiality.

The role requires high school diploma or GED, 4+ years of relevant experience (or equivalent), and ability to work from Virginia with reliable internet. Bilingual English/Spanish is preferred.