Eligibility Specialist II

24 hours ago


Columbia, South Carolina, United States State of South Carolina Full time
Job Summary

We are seeking a highly skilled Eligibility Specialist II to join our team at the State of South Carolina. As an Eligibility Specialist II, you will play a critical role in determining and re-determining Medicaid eligibility for applicants. Your expertise in customer service, social services, and Medicaid processing will be essential in ensuring accurate and timely eligibility determinations.

Key Responsibilities
  • Collect and evaluate documentation from applicants to determine individual and family eligibility for Medicaid.
  • Use various information sources, electronic tools, and systems to make timely eligibility determinations, reviews, and changes of circumstance.
  • Follow policies and procedures for the collection and analysis of applications and documentation.
  • Perform follow-up activities in an efficient and effective manner to obtain outstanding information.
  • Document all notes and steps clearly and completely for review and hand-off to other specialists.
Requirements
  • A high school diploma and experience in customer services, social services, human services, and/or Medicaid processing.
  • A bachelor's degree may be substituted for the required program experience.
  • Eligibility Specialists must have a familiarity with computers, standard Microsoft Office software, internet browsers, and the ability to read, write, and speak English in a clear and concise manner.
  • Must be able to perform basic mathematical computations.
Benefits

The State of South Carolina offers eligible employees a comprehensive benefits package, including health and dental insurance, retirement and savings plan options, and paid vacation and sick leave. Additionally, employees may be eligible for other benefits, such as tuition assistance, holiday, annual and sick leave, and discounts on purchases, travel, and more.



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