Eligibility Specialist Jobs

We are seeking a dependable Eligibility Specialist for a contract-to-hire role in Vandalia, Ohio. This position focuses on maintaining accurate member records, processing enrollment transactions, and providing responsive customer support via phone and email. Ideal candidates possess strong data e...

We are seeking an **Eligibility Specialist** in **Port Saint Lucie, FL** to manage **Medicaid eligibility** and **Title IV-E reviews** for children in out-of-home care. You will process applications, enroll children in specialty plans, and coordinate benefits with case managers. Ideal candidates ...

Detail-oriented **Medicaid Eligibility Specialist** needed in **Indianapolis** to review applications, verify income and household data, and ensure compliance with state/federal guidelines. Requires 2+ years in customer service or case management, strong documentation skills, and experience with ...

We are seeking a detail-oriented **Medicaid Eligibility Specialist** in **Indianapolis** to review applications, verify applicant data, and ensure compliance with state and federal guidelines. Ideal candidates bring 2+ years of experience in customer service, case management, or administrative su...

Detail-oriented Medicaid Eligibility Specialist needed in Indianapolis to review applications, verify income and residency, and ensure compliance with state/federal guidelines. Requires 2+ years in customer service or case management, strong documentation skills, and experience with data entry. O...

We are seeking a detail-oriented **Eligibility Specialist** in Vandalia, OH, to join our team. This role requires strong data entry skills and experience in customer service or administrative operations. You will manage member records, process enrollments, and handle inbound inquiries with accura...

Eligibility & Financial Determination Specialist needed in Denver to oversee Medicaid applications for InnovAge PACE participants. Requires 3+ years experience, CBMS expertise, and a valid driver’s license. You will train enrollment reps, ensure state compliance, and track application statuses. E...

Medical Eligibility and Payment Posting Specialist needed for a long-term contract in Pleasanton, CA. You will verify insurance and Medicaid coverage, post payments accurately, and review outpatient coding using ICD-10 and CPT. Ideal for candidates with experience in medical billing, eligibility ...

Join UNM Hospital in Albuquerque as a Registration & Eligibility Specialist. You'll perform pre-registration, verify insurance, and assist patients with financial options in a call center setting. Requires a High School diploma, 2 years of experience, and bilingual skills in Keres, Tewa, Tiwa, To...

We are seeking a detail-oriented Eligibility Specialist for a contract-to-permanent role in Port St Lucie, FL. You will manage Medicaid eligibility, Title IV-E determinations, and preauthorization for children in out-of-home care. Key requirements include experience in Medicaid billing, insurance...

Join our team as a Medical Eligibility Specialist in Long Beach. You will conduct financial screenings and verify Medi-Cal/insurance eligibility for patients. The role requires 1+ year of experience, strong organizational skills, and proficiency in Microsoft Office. We offer comprehensive benefit...

Join our team as a fully remote RCM Eligibility Specialist on a contract-to-hire basis. This critical role involves verifying patient insurance, resolving claim errors, and ensuring financial clearance for laboratory services. We seek a detail-oriented professional with 5+ years of medical billin...

Join our team as an Eligibility Specialist in Southfield. You will administer federal Title IV-E requirements, ensuring compliance for children in out-of-home care. This role demands strong analytical skills, attention to detail, and proficiency in Microsoft Office. We offer comprehensive benefit...

Join UNM Hospitals as a Registration & Eligibility Specialist in Albuquerque. You will verify insurance, obtain authorizations, and assist patients with financial options in a call center setting. Bilingual skills in Native languages are a plus. This role includes attractive shift differentials f...