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Eligibility Specialist Jobs in Red River, Texas

Eligibility Specialist Jobs
By Sherburne County, MN At , Elk River, 55330 $49,067 - $68,702 a year
Desirable Knowledge, Skills, and Abilities
Sherburne County offers a comprehensive benefits package, including:
Knowledge of Federal and State structure, rules and policies governing Income Maintenance Programs.
Performs job responsibilities in a manner consistent with the County's vision, mission, and values.
Informs immediate supervisor of all-important matters pertaining to assigned job responsibilities.
The primary responsibilities for this position will be performed approximately 100% of the time indoors.
Eligibility Specialist Jobs
By Texas Children's Hospital At , Houston, 77001
2 years previous experience working at or with an HMO or MCO organization required
A bachelor's degree may substitute for the years of required work experience
Being fully vaccinated against COVID-19 is required for all employees unless approved for a medical or religious exemption
High school diploma or GED required
Manually update member eligibility data in the claims processing system using multiple sources for reference, including applications, databases, and reports
Research and resolve member eligibility issues thoroughly, timely, and accurately
Eligibility Specialist I Jobs
By The State of Florida At , Largo, 33770 $32,760 a year
Computer Skills (CLIK) – A basic computer literacy test, assessing knowledge of internet browsers, email, chat, and word processing.
Basic Competency (CBST) – A test of basic math, verbal, and communication skills, designed to assess job readiness and trainability.
If you experience problems applying online, please call the People First Service Center at (877) 562-7287.
Benefits of Working for the State of Florida:
For a more complete list of benefits, visit www.mybenefits.myflorida.com.
Interviewing applicants to obtain and verify information needed to determine eligibility for Food Assistance, Medicaid, and Cash Assistance.
Eligibility Specialist Jobs
By NorthWest Senior and Disability Services At , Dallas $3,982 a month
Qualifications - Education and Experience
Meet the needs of consumers, follow through, meeting deadlines, and maintain skills and knowledge to perform the job.
Apply the required knowledge and skills and exhibit critical thinking and problem solving.
Exhibit good work habits, including organizational skills, regular attendance, working independently, seeking and offering assistance when needed.
Work or volunteer experience working directly with consumers in social service type settings. Experience can be substituted for education.
Any combination of related education and relevant work experience equaling at least 4 years.
Eligibility Verification Specialist Jobs
By White River Health At , Batesville, 72501

Location: White River Health · *WRMC-Clinic Billing (002.6240) Schedule: Full-time, Days, M-F 8:00-4:30

Eligibility Specialist Jobs
By Texas Children's Hospital At Greater Houston, United States
2 years previous experience working at or with an HMO or MCO organization required
A bachelor’s degree may substitute for the years of required work experience
Being fully vaccinated against COVID-19 is required for all employees unless approved for a medical or religious exemption
High school diploma or GED required
Manually update member eligibility data in the claims processing system using multiple sources for reference, including applications, databases, and reports
Research and resolve member eligibility issues thoroughly, timely, and accurately
Eligibility Specialist Jobs
By Texas Children's Hospital At , Houston, 77001, Tx
2 years previous experience working at or with an HMO or MCO organization required
A bachelor's degree may substitute for the years of required work experience
Being fully vaccinated against COVID-19 is required for all employees unless approved for a medical or religious exemption
High school diploma or GED required
Manually update member eligibility data in the claims processing system using multiple sources for reference, including applications, databases, and reports
Research and resolve member eligibility issues thoroughly, timely, and accurately
Eligibility & Enrollment Specialist (Call Center)-Hybrid
By Central Health At , Austin, 78759, Tx
Inform and educate clients on program benefits, in person, over the phone, or through email.
Three (3) years of related experience.
Experience assisting clients with applying for state or federal programs
MINIMUM EDUCATION: High School Diploma or equivalent
Accurately enter client data, and collect, verify and scan appropriate documents into the eligibility database according to Eligibility Policies and Procedures.
Track enrollment and troubleshoot State program applications as assigned
Eligibility Audit Coordinator Jobs
By Harris Health System At , , Tx

Hospitals & Health Networks magazine.

Eligibility Specialist Trainee/I/Ii - South Lake Tahoe
By County of El Dorado At South Lake Tahoe, CA, United States
OR- Two (2) years of full-time experience determining eligibility for health programs, loans, financial assistance, unemployment, or other benefits;
Enter and retrieve numerical and narrative data and issue benefits from an automated computer system.
Analyze financial and eligibility information to determine initial or continuing eligibility for multiple aid programs.
Ensure accuracy and completion of application and declaration forms.
Resolve discrepancies by securing documentation, medical records, and confirmation from other agencies.
Evaluate clients for and answer questions on Advanced Payment Tax Credits related to health care reform.
Eligibility Specialist I Or Ii
By Douglas County, CO At , Castle Rock $39,520 - $61,781 a year
Experience using the Colorado Benefit Management System (CBMS) to determine eligibility for the above programs, is preferred.
A combination of education and experience may be considered.
May perform lead worker responsibilities. (Eligibility Specialist II)
A high school diploma or GED supplemented by one year of related course work or related experience.
One year of work experience in customer service is required.
A high school diploma or GED supplemented by two years of course work or related experience.
Eligibility Specialist Jobs
By Maximus At , Jeffersonville, 47130 Up to $18 an hour
Perform managed care enrollment activities on the Welfare Management System (WMS).
Evaluate State of Health managed care issues and make next step determinations.
Review enrollment issues using WMS, eMedNY and other State Medicaid Data systems.
Interact with local district, SDOH, eMedNY and Enrollment Broker staff to resolve MC issues.
Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
Title Iv-E Medicaid Eligibility Specialist - Salt Lake Valley Region, Dcfs (Telework Eligible)
By State of Utah At , $17.78 - $26.67 an hour
Knowledge, skill and abilities related to this job:
Use MMIS (Medicaid Management Information System)
use MMIS (Medicaid Management Information System)
Consult with Division staff regarding eligibility requirements when necessary.
Excellent computer skills and technologically savvy required
Organization skills, strong oral, written and interpersonal communications skills; and a strong commitment to customer service
Eligibility Specialist - Remote ($17.00 - $17.45 / Hour)
By Talentify.io At United States
Upload scanned images into the document management system.
1+ year of Call Center Experience
Provide 2-3 professional references if requested (managers/supervisors/leadership)
Receive and screen applications, and follow-up with customers to gather any missing information.
Verify income, calculate income, determine eligibility, and process case referrals.
Index and scan returned forms.
Eligibility Recertification Specialist Jobs
By District of Columbia Housing Authority At , Washington $26.70 - $34.84 an hour
Determines priority of eligible applicants for housing selection and coordinates applicant placement with housing managers.
Prepares and mails application for continued occupancy to residents with reasonable written notice of actions needed to complete their recertification timely;
Prepares recommendations for improvement or correction of deficient recertification activities;
Review, approve and reject applications for housing based on federal and agency regulations;
Counsels' prospective tenants on the policies and procedures relative to obtaining and maintaining a unit.
Determines residents who qualify for Earned Income Disregard (EID) exclusions;
Eligibility Services Clerk- Cob
By County of Riverside At Riverside, CA, United States
Monitors the fax server for incoming faxes and distribute documents to staff and sends outgoing fax.
Retrieves incoming mail, scan, and email to staff. Sends outgoing mail.
Retrieve applications from inbox, file clearance, pend and assign cases to ET.
Completes ES screening (CF), file clearance and Pend applications.
Prepare flyers, brochures, incentives for outreach buckets or special requests.
Retrieve and store EBT machine before and after each event, as needed.
Remote - Patient Eligibility Specialist
By One Medical At United States
1+ year experience in complex health insurance verification, medical billing, or patient eligibility determination
1+ year experience working in a high volume call role
Experience using salesforce.com or similar CRM tools, preferred but not required
Calling existing patients to help them change their provider to One Medical with their insurance plan.
Communicating with insurance company call center representatives to resolve issues with patient eligibility
Following communication "scripts" when handling different topics
Eligibility Specialist Jobs
By Housing Counseling Services At , Washington $60,000 - $70,000 a year
Respond to emergency needs of clients along in collaboration with program social worker and case manager;
Experience working with special needs populations;
Strong oral and written communication skills;
Knowledge of housing law or capacity to learn;
Complete applications and eligibility determinations for consumers and/or households applying to HCS for financial and/or housing assistance;
Apply federal, state, and local regulation towards determining eligibility for housing and support services programs;
Benefit And Eligibility Worker (Human Services Specialist 3) – Store Front Office
By Department of Human Services At , The Dalles, 97058 $3,265 - $4,913 a month
Conduct interviews by phone and in-person to gather information to assess and determine need for services and benefits.
Experience high volume of computer work, using various computer programs in a fast-paced environment.
Position Title: Benefit and Eligibility Worker (Human Services Specialist 3) – store front office
Minimum qualifications / What you need to qualify:
As a Benefit and Eligibility Worker, you will...
Managing high volume of work: Ability to complete tasks, duties, projects, and obligations with deadlines that produce high-quality results.
Benefit & Eligibility Worker. (Human Services Specialist 3)
By Department of Human Services At , White City $3,265 - $4,913 a month
Experience interviewing customers in person & by phone to obtain information to determine eligibility.
Experience writing notices, reports, and narrations of eligibility determinations.
Ability to complete tasks, duties, projects, and obligations with deadlines, that produce high-quality results. Experience prioritizing a high-volume workload.
Experience daily with confidential and sensitive information.
While this position is not remote, teleworking may be approved.
We are seeking a Benefit & Eligibility Worker to join our White City Self Sufficiency team.
Eligibility Appeals Specialist Jobs
By Arizona Healthcare At , $46,000 a year
Knowledge, Skills & Abilities (KSAs):
Use logic, problem solving techniques, and analytical skills
Must have a high school diploma or General Equivalency Diploma (G.E.D) and 3 years of customer service experience.
A top-ranked retirement program with lifetime pension benefits
Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
Defined benefit plan that provides for life-long income upon retirement.
Financial Eligibility Specialist (Human Services Specialist 3) Medford
By Department of Human Services At , Medford $3,265 - $4,913 a month
Initiate contact with ongoing long term care recipients as required to complete their annual financial recertification.
Redetermine ongoing financial eligibility for benefits by reviewing application packets and other supplemental data as required by current policy.
Experience working in a team environment.
THIS IS WHAT YOU NEED TO QUALIFY/MINIMUM QUALIFICATIONS (MQ's):
Provide choice counseling and facilitate referrals to SHIBA, Medicare and community programs as appropriate.
Write case notes in all circumstances as required by program or policy rules.
Dhs/Dfcs - Economic Support Cons 2 (Revenue Maximization Djj Eligibility Specialist) 00164920
By State of Georgia At , Clayton
TO APPLY PLEASE VISIT THE LINK BELOW
Applicants who do not apply using the dhsjobs link provided will NOT be considered.
For other DHS career opportunities, please visit: http://dhsjobs.dhs.ga.gov
Eligibility Verification Specialist Jobs
By NYC HRA/DEPT OF SOCIAL SERVICES At , Manhattan, 10048 $53,057 - $61,015 a year
Knowledge of Welfare Management System (WMS), Paperless Office System (POS), HRA One Viewer, and Electronic Medicaid of New York (eMedNY).
Perform quality assurance for Enterprise Data Warehouse (EDW) queries, and Welfare Management System (WMS) lookups.
Review Duplicate Client Identification Number (CIN) cases to determine which CIN should be disenrolled.
Process invalid Social Security Numbers files produced by Family Independence Administration (FIA) to assist in reducing fraud.
9:00 am to 5:00 pm
Eligibility Analyst Jobs
By North Highland At Columbia, SC, United States
Experience using a Medicaid Eligibility System(s);
Experience reviewing/analyzing applications in a high volume/high productivity environment;
High attention to detail including precise and effective customer communications and proven ability to manage multiple, competing priorities simultaneously;
Analyst with an understanding of Medicaid Eligibility Rules;
Eligibility Specialist Jobs
By Ascendo Resources At Tampa, FL, United States
Conduct client interviews and collect detailed information on their business and experience
Research governmental mandates and information to supplement ERC eligibility on a case-by-case basis
Research specific orders that caused disruption to client’s business operations
Analyze and interpret data gathered to guide decision making
Create reports to summarize research findings and the implications of the results
Perform compliance reviews to ensure accuracy and completeness
Eligibility Analyst (Remote) Jobs
By Prime Therapeutics At Minneapolis, MN, United States
Strong organizational and time management skills
2 years experience in healthcare, PBM, Eligibility or claims processing
Strong oral and written communication skills
Problem solving skills with strong attention to detail
Experience working in eligibility or enrollment
Reports to a Supervisor or Manager in the PBM Operations department
Eligibility Specialist Jobs
By ReviveHealth At United States
Ability to multi-task using multiple computer systems with strong organizational and time management skills
Performs other responsibilities as assigned
One year of enrollment data or other related work experience
Beginner Excel experience required, Intermediate preferred
Demonstrated attention to detail and analytical skills relating to reconciling and problem-solving using data
Previous experience working with health insurance or in a health care environment preferred

Are you looking for a rewarding career that makes a difference in people's lives? Join our team as an Eligibility Specialist and help us ensure that those in need receive the benefits they deserve!

Overview:

An Eligibility Specialist is responsible for determining the eligibility of applicants for various programs and services. They must be knowledgeable of the laws, regulations, and policies that govern the programs they are responsible for. They must also be able to interpret and apply these laws and regulations to determine eligibility.

Detailed Job Description:

An Eligibility Specialist is responsible for determining the eligibility of applicants for various programs and services. This includes assessing the applicant’s financial, medical, and other eligibility criteria. They must be knowledgeable of the laws, regulations, and policies that govern the programs they are responsible for. They must also be able to interpret and apply these laws and regulations to determine eligibility. Eligibility Specialists must also be able to communicate effectively with applicants and other stakeholders. They must be able to explain the eligibility criteria and the process for applying for the program.

What is Eligibility Specialist Job Skills Required?

• Knowledge of laws, regulations, and policies related to eligibility
• Ability to interpret and apply laws and regulations
• Ability to communicate effectively with applicants and other stakeholders
• Ability to explain eligibility criteria and the application process
• Ability to maintain accurate records
• Ability to work independently and as part of a team
• Ability to work with a variety of computer programs

What is Eligibility Specialist Job Qualifications?

• Bachelor’s degree in social work, public administration, or a related field
• Experience in a customer service or administrative role
• Knowledge of eligibility criteria for various programs
• Knowledge of computer programs such as Microsoft Office

What is Eligibility Specialist Job Knowledge?

• Knowledge of laws, regulations, and policies related to eligibility
• Knowledge of eligibility criteria for various programs
• Knowledge of computer programs such as Microsoft Office

What is Eligibility Specialist Job Experience?

• Previous experience in a customer service or administrative role
• Previous experience in a social work or public administration role

What is Eligibility Specialist Job Responsibilities?

• Assess applicants’ financial, medical, and other eligibility criteria
• Interpret and apply laws and regulations to determine eligibility
• Communicate effectively with applicants and other stakeholders
• Explain eligibility criteria and the application process
• Maintain accurate records
• Work independently and as part of a team
• Work with a variety of computer programs