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We are seeking a detail-oriented Medicaid Eligibility Specialist to support the review and processing of eligibility applications. This role is responsible for verifying applicant information, reviewing documentation for completeness and accuracy, and ensuring decisions are made in accordance with established policies, procedures, and regulatory guidelines. The ideal candidate will have experience working in a structured environment where accuracy, confidentiality, and rule-following are essential.
Job Responsibility:
Review Medicaid applications and supporting documentation for completeness and accuracy
Verify applicant information, including income, residency, household details, and other required eligibility criteria
Follow strict state, federal, and organizational guidelines when determining eligibility or next steps
Request missing or additional documentation and communicate clearly with applicants regarding requirements
Maintain accurate case notes, records, and system updates in accordance with documentation standards
Respond to applicant questions by phone, email, or in person with professionalism and empathy
Escalate complex cases or discrepancies as appropriate
Meet productivity, quality, and compliance standards in a fast-paced environment
Protect confidential personal and health-related information at all times
Requirements:
2+ years of experience in customer service, administrative support, or case management
Must have experience verifying information, reviewing documents, or following strict rules/policies as part of prior work
Strong attention to detail and accuracy
Ability to interpret and apply policies, procedures, and eligibility requirements consistently
Excellent written and verbal communication skills
Proficiency with data entry, case management systems, and Microsoft Office applications
Ability to manage multiple priorities and deadlines
Nice to have:
Former case workers or non-profit coordinators who are used to navigating the "Indiana Eligibility" portal a plus