Medicaid Eligibility Specialist Job at Robert Half (Indianapolis)

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

Eligibility Specialist

Location

United States , Port Saint Lucie

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience working with Medicaid eligibility, insurance follow-up, or related healthcare benefits processes
Knowledge of documentation standards and timelines associated with public assistance or child welfare eligibility programs
Ability to manage multiple cases while maintaining strong attention to detail and accuracy
Proficiency in Microsoft Excel and general computer-based case or records management systems
Strong written and verbal communication skills for working with case managers, caregivers, and internal support teams
Ability to handle sensitive information with professionalism and confidentiality

Job Responsibility

Gather and organize records needed to complete Title IV-E eligibility reviews for children entering out-of-home care at the time of removal
Submit Medicaid applications for children placed in care and ensure each request is filed within required turnaround times
Enroll newly eligible children in the appropriate child welfare specialty Medicaid plan and confirm coverage setup is completed correctly
Identify cases that may qualify for Social Security-related benefits and route them to the appropriate trust or benefits specialist for follow-up
Prepare and process eligibility applications and redeterminations for children under supervision, maintaining active coverage without lapses
Review adoption-related eligibility files for completeness, maintain documentation, and coordinate with adoption case managers on approvals and finalization steps
Process adoption Title IV-E requests, update placement and service records, and manage related agreements as needed
Respond to questions from foster parents, caregivers, investigators, and case managers regarding Medicaid billing issues and primary care provider changes
Complete required system updates so the appropriate payee information is reflected accurately within designated Medicaid-related platforms

What we offer

Medical
vision
dental
life and disability insurance
401(k) plan
free online training

Fulltime

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

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

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

Medicaid Specialist

Medicaid Specialist – Blue Ridge Care Services. Your expertise can open doors to...

Location

United States , Winchester

Salary:

20.00 - 25.00 USD / Hour

Blue Ridge Hospice

Expiration Date

Until further notice

Requirements

High School diploma or GED required
Associate’s or Bachelor’s degree in a related field preferred
Minimum 2 years of Medicaid eligibility, enrollment, or benefits coordination experience
PACE, long‑term care Medicaid, managed care, or waiver experience strongly preferred
Experience with elderly, disabled, or vulnerable populations is helpful
Strong knowledge of Medicaid rules and application processes
Familiarity with CMS and state Medicaid regulations for PACE
Excellent organization, communication, and time‑management skills
Accuracy and attention to detail when managing multiple cases
Proficiency in Microsoft Office and enrollment/EHR systems

Job Responsibility

Screen prospective PACE participants for Medicaid eligibility
Prepare, submit, and track Medicaid applications, renewals, and recertifications
Coordinate eligibility determinations with state/local DSS or Medicaid agencies
Monitor application timelines to ensure enrollment compliance and prevent coverage gaps
Maintain active oversight of participant eligibility, renewals, and benefit changes
Resolve Medicaid issues, denials, gaps, or discrepancies
Document eligibility status accurately in enrollment and EHR systems
Follow CMS PACE regulations, state Medicaid policies, and internal procedures
Stay current on Medicaid eligibility rules, LTC Medicaid, waiver programs, and PACE-specific regulations
Support audits, readiness reviews, and compliance monitoring

What we offer

Competitive Pay
PTO & Paid Volunteer Time
Comprehensive Health Benefits
Tuition Reimbursement & Scholarships
Peer Support & Mentorship
30% Thrift Shop Discount
Growth Opportunities aligned with our Blue Ridge Care 2030 Strategic 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

Medical Eligibility Specialist

The Medical Eligibility Specialist will play a vital role in ensuring accurate f...

Location

United States , Long Beach

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of one year of experience in financial screening or related roles, such as Medi-Cal eligibility verification
Familiarity with insurance eligibility processes and Medicaid programs
Strong organizational, time management, and problem-solving skills
Intermediate to advanced proficiency in Microsoft Office Suite and other relevant software
Ability to maintain confidentiality and handle sensitive information with discretion
Excellent verbal and written communication skills in English
Previous experience with Department of Mental Health financial screening processes is preferred
Commitment to delivering high-quality customer service and building positive relationships

Job Responsibility

Conduct financial screenings for incoming clients to determine eligibility and financial liability
Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing
Maintain and update client financial records in electronic health record systems
Organize and track annual re-evaluations of client financial information
Follow up with clinical staff to ensure completion of required documentation for financial folders
Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards
Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs)
Audit financial folders upon client discharge to ensure compliance and accuracy

What we offer

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

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