Medicaid Eligibility Specialist Jobs in Texas

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

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.

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.

Minimum Education and Experience Requirements:

Person should display initiative and have the ability to multitask and manage multiple responsibilities.

Six months of general office or medical practice experience preferred.

Basic knowledge of computers, telephone etiquette, CPT and ICD-10 coding and medical terminology preferred.

Good communication skills, both verbal and written, and the ability to work cooperatively with others are essential skills.

High school diploma or equivalent required.

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.

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