Job Details

A company is looking for a Remote Medicare & Medicaid Eligibility Specialist (Advocate).Key ResponsibilitiesEngage in compassionate conversations with members to assist in applying for or retaining Medicaid and Medicare benefitsDetermine eligibility for Medicaid or Low-Income Subsidies by asking relevant questions and explaining regulations in simple termsGather and verify sensitive personal and financial information to ensure accurate enrollment and recertificationRequired Qualifications, Training, and Education2-3 years of experience in healthcare, eligibility screening, case management, or high-touch customer serviceKnowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is preferredProficient in navigating multiple software systems and databasesAbility to remain calm and professional in challenging situationsStrong critical thinking skills to manage difficult conversations and clarify information