Eligibility and Enrollment Specialist

4 months ago

Austin, United States Central Health Full time

Overview:

Under general supervision, refers, enrolls and/or assists customers in obtaining appropriate local or state funded healthcare coverage, and assists customers in resolving complex problems and complaints. Performs out stationed eligibility duties including submitting, tracking and troubleshooting State program applications.

This position is considered Hybrid, which means that individuals in this position may work both at an approved Offsite location and Onsite at a primary location or multiple locations based on Business Needs

Responsibilities:

Essential Duties:

  • Interview applicants in a professional and courteous manner to obtain appropriate demographic and household information needed in order to screen clients for appropriate healthcare coverage programs.
  • Accurately enter client data, and collect, verify and scan appropriate documents into the eligibility database according to Eligibility Policies and Procedures.
  • Accurately apply the Eligibility Policies and Procedures to determine client eligibility and enroll eligible clients into the appropriate local and grant programs and assist clients with submitting applications for state and federal health coverage programs.
  • Track enrollment and troubleshoot State program applications as assigned.
  • Inform and educate clients on program benefits, in person, over the phone, or through email.
  • Pay attention to details.
  • Ability to work some weekend work, covering the Eligibility Call Center.


Knowledge/Skills/Abilities:

  • Adding, subtracting, multiplying or dividing quickly and correctly and to understand and organize a problem and then to select a mathematical method or formula to solve the problem.
  • Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
  • Work effectively with individuals from diverse backgrounds.
  • Administrative and clerical procedures and systems such as word processing and data base systems, and other office procedures and terminology.
  • Interviewing techniques and proper interviewing etiquette.
  • Conflict resolution techniques.
  • Analyzing information and evaluating results to choose the best solution.
  • Knowing how to find information and identifying essential information.
  • Communicating effectively in speaking and writing as indicated by the needs of the audience.
  • Coordinating activities by adjusting actions in relation to others' actions.
  • Being aware of others' reactions and understanding why they react the way they do.
  • Performing basic operations in Microsoft Office Suite.
  • Listening to what other people are saying and asking questions as appropriate.
  • Actively looking for ways to help people and establishing and maintaining effective working relationships.
  • Efficiently shift back and forth between two or more activities or sources of information.
  • Correctly follow a given rule or set of rules in order to arrange things or actions in a certain order including procedures, orders or logical operations.
  • Use deductive reasoning to apply general rules to specific problems to come up with logical answers and decide if an answer makes sense.
  • Communicate information and ideas in speaking and writing so others will understand.
Qualifications:

EDUCATION:

  • High School Diploma or equivalent required.
  • Bachelors Degree preferred.


EXPERIENCE:

  • Three (3) years of related experience required.
  • Experience assisting clients with applying for state or federal programs preferred.
  • Speak, read, and write Spanish fluently preferred.

  • Eligibility and Enrollment Specialist

    4 weeks ago

    Austin, Texas, United States Central Health Full time

    Job Title: Eligibility and Enrollment SpecialistCentral Health is seeking a highly skilled Eligibility and Enrollment Specialist to join our team. As an Eligibility and Enrollment Specialist, you will play a critical role in ensuring that our clients receive the healthcare coverage they need.Key Responsibilities:Interview applicants to obtain demographic and...

  • Eligibility and Enrollment Specialist

    4 weeks ago

    Austin, Texas, United States Central Health Full time

    Job SummaryCentral Health is seeking a highly skilled Eligibility and Enrollment Specialist to join our team. As a key member of our team, you will be responsible for referring, enrolling, and assisting customers in obtaining appropriate local or state-funded healthcare coverage. You will also assist customers in resolving complex problems and complaints,...

  • Eligibility and Enrollment Coordinator

    1 month ago

    Austin, Texas, United States Central Health Full time

    Job SummaryWe are seeking a highly skilled Eligibility and Enrollment Specialist to join our team at Central Health. As a key member of our team, you will play a critical role in ensuring that our clients receive the healthcare coverage they need.Key ResponsibilitiesInterview applicants to obtain demographic and household information for healthcare coverage...

  • Eligibility and Enrollment Coordinator

    3 days ago

    Austin, Texas, United States Central Health Full time

    Job SummaryWe are seeking a highly skilled Eligibility and Enrollment Specialist to join our team at Central Health. As a key member of our team, you will play a critical role in ensuring that our clients receive the healthcare coverage they need.Key ResponsibilitiesInterview applicants to obtain demographic and household information for healthcare coverage...

  • Eligibility and Enrollment Coordinator

    2 months ago

    Austin, Texas, United States Central Health Full time

    Job SummaryCentral Health is seeking a highly skilled Eligibility and Enrollment Specialist to join our team. As a key member of our organization, you will play a critical role in ensuring that our patients have access to the healthcare services they need.Key ResponsibilitiesConduct thorough interviews with applicants to gather demographic and household...

  • Eligibility and Enrollment Specialist

    2 months ago

    Austin, Texas, United States Central Health Full time

    Job SummaryCentral Health is seeking a highly skilled Eligibility and Enrollment Specialist to join our team. As an Eligibility and Enrollment Specialist, you will play a critical role in ensuring that our customers receive the healthcare coverage they need.Key ResponsibilitiesInterview applicants to obtain demographic and household information to screen...

  • Eligibility and Enrollment Specialist

    2 months ago

    Austin, United States Central Health Full time

    Overview: Under general supervision, refers, enrolls and/or assists customers in obtaining appropriate local or state funded healthcare coverage, and assists customers in resolving complex problems and complaints. Performs out stationed eligibility duties including submitting, tracking and troubleshooting State program applications. This position is...

  • Eligibility and Enrollment Specialist

    2 months ago

    Austin, United States Central Health Full time

    Overview: Under general supervision, refers, enrolls and/or assists customers in obtaining appropriate local or state funded healthcare coverage, and assists customers in resolving complex problems and complaints. Performs out stationed eligibility duties including submitting, tracking and troubleshooting State program applications. This position is...

  • Eligibility Specialist

    4 weeks ago

    Austin, United States Curative HR LLC Full time

    The Eligibility Specialist is responsible for all administrative processing of Curative's client's new enrollment and ensuring that their routine maintenance eligibility is updated timely and accurately. This role will work with clients directly along with their agent of record. This position is responsible for accurate reporting of all changes for the...

  • Enrollment Specialist

    2 weeks ago

    Austin, Texas, United States Collabera Full time

    Job Title: Enrollment SpecialistJob Summary:Collabera is seeking an experienced Enrollment Specialist to join our team. As an Enrollment Specialist, you will be responsible for interacting with providers and ancillary staff to provide timely responses to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs.Key...

  • Enrollment Specialist

    4 weeks ago

    Austin, United States Collabera Full time

    Description Home Search Jobs Job Description Enrollment Specialist Contract: Austin, Texas, US Salary: $20.00 Per Hour Job Code: 354413 End Date: 2024-10-27 Days Left: 22 days, 3 hours left Apply Title: Enrollment Specialist Location: Austin, TX (Onsite) Duration: 6 months Responsibilities: Interact professionally with providers and ancillary staff to...

  • Enrollment Specialist

    5 days ago

    Austin, United States Collabera Full time

    Description Home Search Jobs Job Description Enrollment Specialist Contract: Austin, Texas, US Salary: $20.00 Per Hour Job Code: 354413 End Date: 2024-10-27 Days Left: 3 hours left Apply Title: Enrollment Specialist Location: Austin, TX (Onsite) Duration: 6 months Responsibilities: Interact professionally with providers and ancillary staff to provide...

  • Enrollment Specialist

    4 weeks ago

    Austin, United States Collabera Full time

    Description Home Search Jobs Job Description Enrollment Specialist Contract: Austin, Texas, US Salary: $18.00 Per Hour Job Code: 354061 End Date: 2024-10-26 Days Left: 23 days, 3 hours left Apply Collabera Job Opportunity Job Title: Customer Support 1 Location: Austin, TX Job Description We are seeking a detail-oriented individual to join our team as a...

  • Eligibility Coordinator

    4 weeks ago

    Austin, Texas, United States Curative HR LLC Full time

    Job Title: Eligibility SpecialistThe Eligibility Specialist is a key member of the Curative HR LLC team, responsible for ensuring the smooth administrative processing of client enrollments and maintaining accurate eligibility records.Key Responsibilities:Process all transaction types, including adds, term changes, group discrepancies, and other...

  • Provider Enrollment Specialist

    4 weeks ago

    Austin, Texas, United States Manpower Group Inc. Full time

    Job Title: Provider Enrollment SpecialistExperis IT ManpowerGroup has partnered with a leading Irish-American professional service in the Austin, TX area for a Contract Provider Enrollment Specialist role to assist their team. This is an on-site role.Job Summary:We are seeking a highly detail-oriented and organized Provider Enrollment Specialist to join our...

  • Healthcare Enrollment Specialist

    4 weeks ago

    Austin, Texas, United States BCforward Full time

    Provider Enrollment SpecialistBCforward is seeking a highly detail-oriented and organized Provider Enrollment Specialist to join our team. As a key member of our enrollment team, you will be responsible for processing enrollment applications for healthcare providers, ensuring timely and accurate completion of applications, and providing exceptional customer...

  • Healthcare Enrollment Specialist

    1 week ago

    Austin, Texas, United States BCforward Full time

    Job Title: Provider Enrollment SpecialistBCforward is seeking a highly detail-oriented and organized Provider Enrollment Specialist to join our team. As a key member of our enrollment team, you will be responsible for ensuring the timely and accurate processing of provider enrollment applications.Key Responsibilities:Provide exceptional customer service to...

  • Healthcare Enrollment Specialist

    3 days ago

    Austin, Texas, United States Experis Full time

    Experis IT ManpowerGroup has partnered with a leading organization to fill a Provider Enrollment Specialist role. This is an on-site position that requires strong attention to detail and excellent customer service skills.Key Responsibilities:Process enrollment applications in the healthcare insurance market, workers' comp market, or Medicaid market.Interact...

  • Healthcare Enrollment Specialist

    4 weeks ago

    Austin, Texas, United States Experis Full time

    Job Title: Healthcare Enrollment SpecialistWe are seeking a detail-oriented and organized Healthcare Enrollment Specialist to join our team at Experis IT ManpowerGroup. The successful candidate will be responsible for processing enrollment applications in the healthcare insurance market, workers' comp market, or Medicaid market.Key Responsibilities:Interact...

  • Provider Enrollment Specialist

    1 month ago

    Austin, Texas, United States BCforward Full time

    Provider Enrollment Specialist/Data Entry OperatorWe are seeking a highly detail-oriented and organized Provider Enrollment Specialist/Data Entry Operator to join our team at BC Forward. As a key member of our team, you will be responsible for ensuring the timely and accurate processing of provider enrollment applications.Key Responsibilities:Process...