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Bilingual Medicare/medicaid Eligibility Specialist

4 weeks ago

Houston, United States Centauri Health Solutions Full time

**Role Overview**:
**Role Responsibilities**:

- Attention to detail by adhering to state requirements and securing supporting documentation
- Meets daily, weekly, and monthly production goals. Must also meet quality standards by ensuring proper phone etiquette and adherence to scripts, state regulations, HIPAA compliance, meet ongoing corporate compliance standards, and make accurate and descriptive documentation
- Participates as required in operational development programs
- Research changes with any state and federal regulatory requirements to adhere to strict compliance of all aspects of Medicare programs and Medicaid Outreach Operations
- Demonstrates behaviors, actions, and attitudes that reflect our vision, mission and values
- Understand and agree to role-specific information security access and responsibilities
- Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
- Read, understand and agree to security policies and complete all annual security and compliance training

**Role Requirements**:

- Medicare/Medicaid program experience, and experience with screening for Medicaid eligibility a strong plus
- Expertise and knowledge of Medicaid, Special Needs Programs (SNP), Low Income Subsidy (LIS) and the Medicare Savings Program (MSP)
- Strong working knowledge with Microsoft Office programs, and some experience with Excel.
- Excellent oral communication skills; ability to communicate with elderly individuals and governmental personnel
- 2-3 years related experience with direct consumer interaction
- Outstanding customer service and communication skills
- Strong organizational, analytical, critical thinking and customer service skills
- Ability to analyze and interpret governmental program criteria
- Ability to manage a fast-paced environment
- Must be able to navigate through multiple databases/monitors with a minimum typing speed of 45 wpm
- Telephone experience and ability to interact and decipher information via telephonic or correspondence inquires
- Case management experience or related experience / intermediate
- A compassionate and empathetic nature with a strong desire to help and make a difference
- Bachelor’s or Associate’s Degree a plus

We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan.

Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.

This position is bonus eligible in accordance with the terms of the Company’s plan.

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