Remote Medicare & Medicaid Eligibility Specialist (Advocate)

Centauri Health Solutions, Inc; Kansas; Hybride; USD 48 000 - 60 000; Plein temps

Avantages offerts par ce poste

Medical coverage

Dental & Vision

401(k)

Tuition reimbursement

Paid time off

Holidays

Training & equipment

Performance bonus

Volunteer time off

Referral bonus

Career development

Résumé du poste

Centauri Health Solutions is seeking empathetic Medicare/Medicaid Eligibility Specialists to help members apply for or retain Medicaid, MSP, and LIS benefits. You will navigate complex rules with care, verify sensitive information, and ensure accurate enrollment while maintaining HIPAA compliance.

Join a mission-driven team that supports health plans and systems, offering comprehensive benefits, a structured schedule, and opportunities for professional growth through training and development

Qualifications

• 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.
• Knowledge of Medicaid, Medicare, SCHIP, or SNP is a plus.
• Proficient with multiple screens and MS Teams/Outlook while maintaining a warm conversation.

Responsabilités

• Handle calls with members applying for or maintaining Medicaid, MSP, and LIS.
• Explain complex eligibility rules in simple terms and guide members through processes.
• Gather and verify personal and financial details for enrollment and recertification.
• Adhere to HIPAA and state regulations while documenting interactions.

Connaissances

Healthcare experience

Eligibility screening

Customer service

HIPAA knowledge

Outils

Microsoft Teams

Outlook

Description du poste

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, we don’t just process applications; we serve as a lifeline. For many Medicare members, a single phone call with ourteam can mean potentially saving on 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.

• Compassionate Conversations:Make and receive calls with members needing to apply for or obtain or retain Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).
• The "Human Translator":Determine if individuals are eligible for Medicaid or LIS benefits through a series of simple questions. When needed, explain complex regulations and eligibility requirements in simple, warm, and patient terms.
• Application Mastery:Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification.
• Regulatory Standards:Maintain strict 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.

• 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, maintaining a warm conversation and documenting information in real time.
• Patience:You remain calm 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
• Tuition reimbursement opportunities
• 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.