Remote Medicaid Eligibility Specialist – Enrollment

SGS Consulting; Yorktown (VA); Teletrabalho; USD 60 000 - 75 000; Tempo integral

Resumo da oferta

SGS Consulting in Virginia seeks a Medicaid Eligibility Specialist to process complex cases, assist clients, and support training teams in a remote environment. You will apply policies accurately and coordinate with management to ensure timely, quality outcomes.

The role requires strong attention to detail, bilingual English/Spanish abilities, and 4+ years of relevant experience. A wired home internet connection and ability to work full-time are essential.

Qualificações

• High school diploma or GED required, with proof of completion.
• 4+ years of relevant professional experience required, or an equivalent combination.
• Associate degree with 2+ years of relevant experience preferred.
• Must be legally able to work remotely from Virginia.
• Reliable wired home internet service; Speedtest proof may be requested.

Responsabilidades

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

Conhecimentos

Customer service

Attention to detail

Time management

Independent work

Team collaboration

Remote work

Bilingual English/Spanish

Formação académica

High school diploma or GED

Associate degree (preferred)

4+ years relevant experience

Descrição da oferta de emprego

SGS Consulting in Virginia seeks a Medicaid Eligibility Specialist to process complex cases, assist clients, and support training teams in a remote environment. You will apply policies accurately and coordinate with management to ensure timely, quality outcomes.

The role requires strong attention to detail, bilingual English/Spanish abilities, and 4+ years of relevant experience. A wired home internet connection and ability to work full-time are essential.