Eligibility Specialist Job at Robert Half (Vandalia)

Eligibility Specialist

We are seeking a detail-oriented Medicaid Eligibility Specialist to support the ...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

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

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

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan

Fulltime

Eligibility Specialist

Location

United States , Vandalia

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in customer service, member support, or an administrative operations role
Strong data entry skills with a high level of accuracy and attention to detail
Ability to handle inbound calls and written correspondence with attention to detail
Proficiency with Microsoft Word and Microsoft Excel for routine office and reporting tasks
Comfortable managing multiple responsibilities in a structured Monday through Friday schedule
Ability to work effectively with internal teams, vendors, and external contacts
Strong organizational skills and the ability to prioritize tasks in a fast-paced environment

Job Responsibility

Enter and update member information in the designated portal while verifying accuracy and confirming successful submission of records
Process enrollment-related transactions and maintain eligibility records to support timely and accurate member services
Communicate with vendors and external representatives as needed to resolve routine questions and support service-related follow-up
Prepare, review, and distribute reports that help track operational activity and support day-to-day team needs
Scan, organize, and index documents so files remain accessible, accurate, and properly maintained
Sort and distribute incoming mail and related materials to ensure timely handling of correspondence
Respond to inbound inquiries and email messages with clear, service-focused communication
Support additional order entry, scheduling, and administrative tasks required to keep daily operations running smoothly

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Eligibility Specialist

We are looking for a detail-oriented Eligibility Specialist to join our team in ...

Location

United States , Port St Lucie

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in Medicaid eligibility and insurance follow-up processes
Familiarity with preauthorization procedures and Medicaid billing systems
Proficiency in Microsoft Excel for documentation and record-keeping
Strong organizational skills and attention to detail
Ability to manage multiple tasks and prioritize effectively
Excellent communication skills for interacting with caregivers, case managers, and other stakeholders
Knowledge of Title IV-E determinations and child welfare systems
Experience in handling adoption-related documentation and processes

Job Responsibility

Prepare and compile comprehensive documentation to facilitate Title IV-E determinations for children entering out-of-home care
Enroll newly eligible Medicaid recipients into the Sunshine Child Welfare Specialty Plan
Identify and refer children potentially eligible for Social Security benefits to the Master Trust Specialist
Process and submit applications for all children under the supervision of CCKids
Monitor and manage Title IV-E determinations to prevent expiration and ensure timely re-determinations
Review, approve, and organize pre-adoption files submitted by Adoption Case Managers
Handle agreements, update placements and services, and coordinate with case managers on adoption case assignments and finalizations
Process new Title IV-E applications for children placed in adoption settings promptly and accurately
Assist case management teams in obtaining eligibility documentation for adoption cases or future eligibility reviews
Address inquiries about Medicaid billing, primary care physician changes, and related matters from foster parents, caregivers, case managers, and investigators

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan
free online training

Eligibility Specialist

We are looking for a detail-oriented Eligibility Specialist to join our team in ...

Location

United States , Port St Lucie

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in Medicaid eligibility and insurance follow-up processes
Familiarity with preauthorization procedures and Medicaid billing systems
Proficiency in Microsoft Excel for documentation and record-keeping
Strong organizational skills and attention to detail
Ability to manage multiple tasks and prioritize effectively
Excellent communication skills for interacting with caregivers, case managers, and other stakeholders
Knowledge of Title IV-E determinations and child welfare systems
Experience in handling adoption-related documentation and processes

Job Responsibility

Prepare and compile comprehensive documentation to facilitate Title IV-E determinations for children entering out-of-home care
Enroll newly eligible Medicaid recipients into the Sunshine Child Welfare Specialty Plan
Identify and refer children potentially eligible for Social Security benefits to the Master Trust Specialist
Process and submit applications for all children under the supervision of CCKids
Monitor and manage Title IV-E determinations to prevent expiration and ensure timely re-determinations
Review, approve, and organize pre-adoption files submitted by Adoption Case Managers
Handle agreements, update placements and services, and coordinate with case managers on adoption case assignments and finalizations
Process new Title IV-E applications for children placed in adoption settings promptly and accurately
Assist case management teams in obtaining eligibility documentation for adoption cases or future eligibility reviews
Address inquiries about Medicaid billing, primary care physician changes, and related matters from foster parents, caregivers, case managers, and investigators

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan
free online training

Eligibility Specialist

The Eligibility Specialist is responsible for administering and applying Title I...

Location

United States , Southfield

Salary:

15.75 USD / Hour

MMC Group LP

Expiration Date

Until further notice

Requirements

High School Diploma or equivalent required
Proficient in Microsoft Word and Excel
Strong attention to detail and organizational skills
Ability to adapt to evolving policies and procedures
Demonstrated problem-solving skills
Ability to maintain confidentiality of sensitive information
Strong interpersonal skills with the ability to work effectively with staff, public officials, and external agencies
Ability to work independently and prioritize workload effectively
Ability to attend in-person meetings as required

Job Responsibility

Complete timely Initial and Six-Month Title IV-E eligibility recommendations in compliance with federal, state, and tribal specifications
Request, track, and follow up on missing or additional documentation from counties and tribal agencies
Maintain accurate electronic IV-E eligibility files, including court orders, eligibility forms, financial documentation, and supporting records
Analyze data from multiple systems to determine compliance with federal and state Title IV-E requirements
Enter eligibility information into the State eWiSACWIS reporting system
Provide professional customer service to State and county agencies via phone and email
Assist with Adoption Assistance and Subsidized Guardianship Title IV-E recommendations
Support additional IV-E-related projects and initiatives as assigned by supervisor

What we offer

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

Fulltime

Medicaid Eligibility Specialist

We are seeking a detail-oriented Medicaid Eligibility Specialist to support the ...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

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

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

What we offer

Medical, vision, dental, and life and disability insurance
Enrollment in company 401(k) plan

Fulltime

Medicaid Eligibility Specialist

We are seeking a detail-oriented Medicaid Eligibility Specialist to support the ...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

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

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

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Registration & Eligibility Specialist

UNM Hospital is the largest community mental health provider in the state of New...

Location

United States , Albuquerque

Salary:

16.59 - 22.95 USD / Hour

UNM Hospitals

Expiration Date

Until further notice

Requirements

High School or GED Equivalent
2 years directly related experience
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
Not Applicable/Not Required

Job Responsibility

Perform pre-registration and registration functions for Ambulatory/Outpatient Operations area assigned
verify insurance coverage eligibility and benefits
verify required referrals and/or prior authorization are in place prior to visit
contact patients for outdated or missing demographics
professional and efficient phone call handling via telephone ACD system in a call center setting
perform as first contact for Persons in Custody of Law Enforcement Agency (PICLEA) as they arrive for care
screen patients for coverage and assist them in navigating their financial options including UNMH or other UNM Health Systems financial assistance, NM Medicaid, or other State and Federal Programs
perform intake applications for State of NM Medicaid
Ensure adherence to Hospitals and departmental policies and procedures
Assist patients in locating departments

What we offer

Full health/dental/vision with no deductible for full-time employees
Retirement with up to 6% match
PTO and 9 paid holidays
Amazing shift differentials including up to 26% for weekend nights
Sign-on bonuses and relocation assistance

Fulltime

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Eligibility Specialist

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