Eligibility Specialist jobs in the United States

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Eligibility Specialist
  • Express Eligibility Connections
  • Denver, CO FULL_TIME
  • The Eligibility Specialist will work with and report directly to the Eligibility Specialist Lead. Eligibility Specialists will provide assistance to Colorado residents seeking medical insurance enrollment and eligibility services for all Medicaid programs with an increased focus on Long Term Care services. Eligibility Specialist will review and process applications for assistance on Colorado Benefits Management System (CBMS). Employee will authorize approval, denial or reduction of benefits based on eligibility.

    Job duties/daily tasks include but are not limited to- interpreting and explaining the rules and regulations to clients regarding their eligibility rights and responsibilities. Creating, saving and transferring case files. Constant and ongoing collaboration with team members to understand and meet processing guidelines. Monthly and quarterly reporting of productivity/accuracy/quality to satisfy Colorado State requirements. Continued education and training to assist with aquiring a deep-rooted knowledge of Long-Term Care Medicaid rules and regulations.

    Education, Experience, Knowledge/Skills, and Abilities:

    Education: High school diploma required. Associates degree or additional college courses preferred.

    Experience: Preferred minimum of two years experience determining eligibility within CBMS ideally in Long Term Care Medicaid Eligibility. Proven problem-solving skills and attention to detail.

    Knowledge/Skills: Proficient working in an office environment and with normal office equipment (i.e. computer, keyboard, mouse, calculator, copier, printer, fax, scanner, telephone). Proven multitasking/organizational skills working in a high-volume environment.

    Ability: to provide verbal, written communication and exhibit professionalism with face to face interactions. Ability to effectively communicate with diverse clients.

    Physical Requirements include but are not limited to:

    Mobility necessary to perform a variety of tasks that involve standing, walking, sitting, stooping, kneeling, bending and twisting, occasionally climbing stairs or using an elevator, possibly reaching chest high and overhead for materials.

    Job Type: Full-time

    Pay: $40,000.00 - $65,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Paid time off

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work Location: Hybrid remote in Denver, CO 80221

  • 24 Days Ago

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Eligibility Counselor - FT
  • Eligibility Consultants, Inc. (ECI)
  • Plano, TX FULL_TIME
  • DescriptionWELCOME TO ECI!Every day, thousands of uninsured patients walk into a hospital seeking the help of medical staff to alleviate their health problems. They are treated, discharged, and then l...
  • 2 Months Ago

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Eligibility Counselor - FT
  • Eligibility Consultants, Inc. (ECI)
  • Allen, TX FULL_TIME
  • DescriptionWELCOME TO ECI!Every day, thousands of uninsured patients walk into a hospital seeking the help of medical staff to alleviate their health problems. They are treated, discharged, and then l...
  • 1 Day Ago

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Eligibility Counselor - FT
  • Eligibility Consultants, Inc. (ECI)
  • Dallas, TX FULL_TIME
  • DescriptionWELCOME TO ECI!Every day, thousands of uninsured patients walk into a hospital seeking the help of medical staff to alleviate their health problems. They are treated, discharged, and then l...
  • 2 Days Ago

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Weekend Eligibility Counselor - FT
  • Eligibility Consultants, Inc. (ECI)
  • FORT WORTH, TX FULL_TIME
  • DescriptionWELCOME TO ECI!Every day, thousands of uninsured patients walk into a hospital seeking the help of medical staff to alleviate their health problems. They are treated, discharged, and then l...
  • 1 Month Ago

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Eligibility Counselor - FT
  • Eligibility Consultants, Inc. (ECI)
  • Irving, TX FULL_TIME
  • DescriptionWELCOME TO ECI!Every day, thousands of uninsured patients walk into a hospital seeking the help of medical staff to alleviate their health problems. They are treated, discharged, and then l...
  • 8 Days Ago

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Research Operations Specialist
  • Raytheon Technologies
  • Sterling, VA
  • Date Posted: 2024-09-26 Country: United States of America Location: VA543: 22270 Pacific Blvd, Dulles 22270 Pacific Boul...
  • 11/6/2024 12:00:00 AM

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Research Support Specialist - Non-Human Primates (NHP) - NIH
  • Kelly
  • Dickerson, MD
  • Kelly Government Solutions is seeking an individual to work on-site as a Research Support Specialist/Veterinary Technici...
  • 11/6/2024 12:00:00 AM

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Snowflake Trainer
  • Learning Tree International Usa, Inc.
  • Herndon, VA
  • Job Description Job Description Snowflake Trainer (Part Time) Are you a real-world Snowflake expert passionate about sha...
  • 11/5/2024 12:00:00 AM

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Training and Development Specialist
  • Raytheon Technologies
  • Sterling, VA
  • Date Posted: 2024-10-25 Country: United States of America Location: VA543: 22270 Pacific Blvd, Dulles 22270 Pacific Boul...
  • 11/5/2024 12:00:00 AM

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Expert Coding Trainer
  • Outlier
  • MOUNT VERNON, VA
  • Outlier helps the worlds most innovative companies improve their AI models by providing human feedback. Are you an exper...
  • 11/4/2024 12:00:00 AM

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Senior Strategic Sourcing Representative
  • Battelle Memorial Institute
  • Chantilly, VA
  • Battelle delivers when others cant. We conduct research and development, manage national laboratories, design and manufa...
  • 11/3/2024 12:00:00 AM

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Senior Technology Consultant
  • REI Systems
  • Sterling, VA
  • REI Systems’ mission is to deliver reliable, innovative technology solutions that advance Federal clients' missions and ...
  • 11/2/2024 12:00:00 AM

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Senior Capture Analyst - FedCiv IT Business Area
  • Leidos
  • Reston, VA
  • Description Leidos is looking for a Senior Capture Analyst to join the Digital Modernization sector’s FedCiv IT Business...
  • 10/10/2024 12:00:00 AM

Income Estimation for Eligibility Specialist jobs
$40,843 to $53,847