Top 47 Eligibility specialist Jobs in Anderson County Sc

Eligibility Specialist II (MAGI) / 60014335, 60014336
State of South Carolina —Anderson County, SC
- $36,491 a year
- Overtime
- Computer literacy
- Basic math
- English
- Paid holidays
- Disability insurance
2d
Patient Access Specialist - CFM Oconee, FT, Days
Prisma Health —Seneca, SC
- Full-time
- Hospital
- Customer service
- Word processing
Provider Enrollment Specialist
New Horizon Family Health Services —Greenville, SC
- Mid-level
- Databases
- Business Administration
- Health savings account
- Paid holidays
Patient Access Specialist, Fulltime, OP Registration - Weekends Required
Prisma Health —Seneca, SC
- Weekends as needed
- Customer service
- Word processing
- Computer literacy
1d
Human Resource Expert
Target —Anderson, SC
- From $15.50 an hour
- Part-time
- Communication skills
- Entry level
- Flexible schedule
1d
Patient Access Specialist Part -Time 3rd Shift (every other Friday and Saturday and 1 day a week)
Prisma Health —Seneca, SC
- Part-time
- Hospital
- Customer service
- Word processing
R&D Specialist
Smurfit Westrock —Anderson, SC
- $44,250 - $73,750 a year
- Full-time
- Master's degree
- Bachelor's degree
- Travel
- Health savings account
- AD&D insurance
Pre Certification Specialist
MountainView Medical Imaging —Seneca, SC
- $18 - $20 an hour
- Full-time
- Computer literacy
- Basic math
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
13d
Patient Access Specialist - Every other weekend/ 3rd Shift 10:30pm - 7am
Prisma Health —Seneca, SC
- Rotating weekends
- Hospital
- Customer service
- Word processing
To-Go Specialist
Outback Steakhouse —Anderson, SC
- Call employer
- Casual dining restaurant
- Customer service
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Delivery Specialist - Hub
O'Reilly Automotive Stores —Anderson, SC
- Full-time
- Driver's License
- Communication skills
- Entry level
- Employee stock purchase plan
- Health insurance
Quick Apply
Billing Specialist
Retina Consultants Of Carolina PA —Greenville, SC
- Full-time
- Medical office experience
- Office
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Delivery Specialist
O'Reilly Automotive Stores —Anderson, SC
- Full-time
- Sales
- Merchandising
- Driver's License
- Employee stock purchase plan
- Health insurance
Quick Apply
To-Go Specialist
Cracker Barrel Old Country Store —Anderson, SC
- Entry level
- Under 1 year
- Employee stock purchase plan
- Health insurance
To Go Specialist
Red Lobster —Anderson, SC
- Part-time
- US work authorization
- Restaurant
- Entry level
- Disability insurance
- Health insurance
(CSS) Clinical Support Specialist
New Horizon Family Health Services —Greenville, SC
- High school diploma or GED
- Social Work
- 1 year
- Health savings account
- Paid holidays
(PSR) Patient Service Representative - Specialist
New Horizon Family Health Services —Greenville, SC
- Mid-level
- High school diploma or GED
- Clinic
- Health savings account
- Paid holidays
6d
Senior Patient Access Specialist
Ensemble RCM LLC —Greenville, SC
- $18.65 - $19.90 an hour
- Full-time
- Management
- Customer service
- Mid-level
- Tuition reimbursement
7d
MEP Specialist
Sundt Construction, Inc. —Iva, SC
- Full-time
- Construction site
- Mid-level
- 3 years
- Disability insurance
- Health insurance
1d
Parts Specialist
O'Reilly Automotive Stores —Anderson, SC
- Full-time
- ASE Certification
- Merchandising
- Cleaning
- Employee stock purchase plan
- Health insurance
Quick Apply

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Eligibility Specialist II (MAGI) / 60014335, 60014336

State of South Carolina -
Anderson County, SC

Apply Now

Job Details

Full-time
$36,491 a year
2 days ago

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Vision insurance
Flexible schedule
Life insurance
Prescription drug insurance

Qualifications

Customer communication
Basic math
English
High school diploma or GED
Medicaid regulations
Productivity software

Full Job Description

Job Responsibilities

The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians.

This position is located in Localized Eligibility Processing (LEP), Anderson County.
This is an in-office role and not a telecommute or remote position.

Are you the One? We are looking for an Eligibility Specialist II (MAGI) who determines/re-determines Medicaid eligibility according to Medicaid policies and procedures. This position collects and evaluates documentation from applicants to determine individual and family eligibility for the program. Eligibility Specialists complete all assigned eligibility determinations, reviews, and changes in an accurate and timely manner.

Uses various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance. Follows policies and procedures for the collection and analysis of applications and documentation and collects additional information for beneficiaries as necessary with the least burden to the applicant/beneficiary as possible. Performs follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information in a timely manner. Documents all notes and steps clearly and completely for review and hand-off to other specialists.
Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation. Makes accurate determinations of eligibility based on the rules and standards detailed by the Department and defined in written performance standards. Resolves discrepancies in case determinations or documentation a timely manner. Follows appropriate escalation processes as outlined in eligibility process documentation. Labels all documentation, records decision and notes clearly and accurately in the appropriate systems of record.
Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise. Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with State and Federal law as articulated through departmental policies and training.
Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership. Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls. Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary. Performs other duties as assigned by supervisory staff and agency leadership.

The South Carolina Department of Health and Human Services offers an exceptional benefits package for FTE and TGE positions that includes:

Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
13 paid holidays.
State Retirement Plan and Deferred Compensation Programs.

Minimum and Additional 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.

Additional Requirements:

Overtime and/or weekend work with Deputy approval.
Sitting or standing for long periods of time.
Lifting requirements: 20 lbs.
Occasional overnight travel.
In-office role.

Preferred Qualifications

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.
Eligibility Specialists must be able to work in a professional office environment with a diverse group of teammates and provide excellent customer service either face to face, telephonically or through written communication.
Eligibility Specialists must be able to learn, retain, and apply information about federal rules and standards for processing Medicaid eligibility determinations.
Specialists must maintain productive workspaces and must perform tasks in an effective manner to ensure the completeness, accuracy, and timeliness of eligibility determinations.

Additional Comments

Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail.

The South Carolina Department of Health and Human Services is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.

Apply Now

Refine Your Search

eligibility specialist jobs in anderson county sc

Eligibility Specialist II (MAGI) / 60014335, 60014336

Patient Access Specialist - CFM Oconee, FT, Days

Provider Enrollment Specialist

Patient Access Specialist, Fulltime, OP Registration - Weekends Required

Human Resource Expert

Patient Access Specialist Part -Time 3rd Shift (every other Friday and Saturday and 1 day a week)

R&D Specialist

Pre Certification Specialist

Patient Access Specialist - Every other weekend/ 3rd Shift 10:30pm - 7am

To-Go Specialist

Delivery Specialist - Hub

Billing Specialist

Delivery Specialist

To-Go Specialist

To Go Specialist

(CSS) Clinical Support Specialist

(PSR) Patient Service Representative - Specialist

Senior Patient Access Specialist

MEP Specialist

Parts Specialist

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