Top 886 Eligibility specialist Jobs in Georgia

Medicaid Eligibility Specialist I (GA / Hybrid)
FreedomCare —Atlanta, GA
- $23 - $25 an hour
- Remote
- Home Health
- Business
- Associate's degree
- Health insurance
- Retirement plan
Quick Apply
Eligibility & Benefits Specialist
Oshi Health —Atlanta, GA
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
2d
Senior Claim Benefit Specialist - Remote
CVS Health —Georgia
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Patient Enrollment Specialist - Contractor
Aviary —Atlanta, GA
- $20 - $22 an hour
- Full-time
- Remote
- Cardiology
- Entry level
- Under 1 year
Remote - Enrollment Specialist
CareHarmony —Georgia
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Accreditation Specialist
Peach State Health Plan —Georgia
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Paid holidays
- Health insurance
5d
Communications Specialist
Booz Allen Hamilton —Atlanta, GA
- $77,500 - $176,000 a year
- Full-time
- Office
- 3 years
- Bachelor's degree
- Health insurance
- Flexible spending account
Claims Advocate Specialist
First American Home Warranty —Georgia
- $20.34 - $27.12 an hour
- Full-time
- Remote
- Microsoft Word
- Microsoft Outlook
- Analysis skills
- Employee stock purchase plan
- Health insurance
Quick Apply
Claim Benefit Specialist
CVS Health —Atlanta, GA
- $17.00 - $25.65 an hour
- Full-time
- Customer service
- No high school diploma
- Office
- Health insurance
- Dental insurance
2d
Scheduling Specialist II - Remote
St. Mary's Health care System —Athens, GA
- Part-time
- Remote
- Customer service
- 5 years
- Mid-level
3d
Exam Administration Specialist I
NATIONAL COMMISSION ON CERTIFICATION OF PHYS —Johns Creek, GA
- $49,000 - $52,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Quick Apply
5d
Onboarding Specialist
InCommunity —Georgia
- $22 - $25 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
Quick Apply
Contact Center Customer Experience Specialist - Corporate Payment Services
U.S. Bank National Association —Georgia
- $20 an hour
- Weekends as needed
- Remote
- Background check
- 18 years or older
- High school diploma or GED
- Paid holidays
- Disability insurance
2d
Risk & Compliance Inquiry Specialist
VersiTech / Bold Integrated Payments / Tonic —Sandy Springs, GA
- From $50,000 a year
- Full-time
- Hybrid work
- Office
- US work authorization
- No travel
- Health savings account
- Health insurance
Quick Apply
Care Coordinator Authorization Scheduling Specialist- GYN Oncology
Atrium Health —Macon, GA
- $20.80 - $31.20 an hour
- Full-time
- Customer service
- Computer literacy
- Office
- Paid parental leave
- Disability insurance
Patient Advocate Specialist
Firstsource Healthcare —Atlanta, GA
- $17 - $19 an hour
- Monday to Friday
- Remote
- High school diploma or GED
- Ability to sit for extended periods
- Organizational skills
- Health insurance
- Dental insurance
5d
Records Management Specialist
Ardent Eagle Solutions —Atlanta, GA
- $65,000 - $110,000 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
11d
Provider Network Specialist
Devoted Health —Georgia
- $65,000 - $85,000 a year
- Full-time
- Remote
- Google Workspace
- 5 years
- Research
- Dental insurance
- 401(k)
Permit Specialist I, II, III
Congruex —Atlanta, GA
- $30 - $35 an hour
- Customer service
- Research
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Housing Choice Voucher Program Specialist
Affiliated Resources Group —Decatur, GA
- Full-time
- Mid-level
Quick Apply

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Medicaid Eligibility Specialist I (GA / Hybrid)

FreedomCare -
Atlanta, GA

Quick Apply

Job Details

$23 - $25 an hour

Benefits

Health insurance
Retirement plan

Qualifications

Customer communication

Full Job Description

Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We're the largest consumer-directed home care agency in NY State, and are continually expanding our areas of focus including operations in other states and tech-based innovations.

We pride ourselves on our values which drive the level of care that we deliver to our patients:

Here For You (An attitude of service, empathy, and availability)
Own It (Drive and ownership)
Do the Right Thing (High integrity)
Be Positive (Great attitude and a can-do positive approach to challenges)

Join our team and make a positive impact on the lives of others! We are looking for a Medicaid Eligibility Specialist II for our Georgia team.

This role is remote with potential travel to the FreedomCare hub closest to you.

Department & Position Overview:

The Medicaid Eligibility Specialist II focuses on enhancing the patient experience by verifying eligibility for Medicaid benefits, facilitating the approval process, and maintaining eligibility status to allow them to receive our services; expediting the time it takes for them to enroll into our programs.

In addition to verifying patient eligibility and facilitating the approval process for Medicaid benefits, they will be responsible for ensuring compliance with all relevant regulations. The Medicaid Eligibility Specialist II requires a high level of attention to detail, excellent communication skills, and requires in-depth knowledge and understanding of Medicaid policies, regulations, and procedures.

Every Day You Will:

Verification and Eligibility:

- Develop in-depth understanding of FSSA's programs including benefits, eligibility requirements, and enrollment process through the development of contacts with the State Medicaid agency, identifying online resources, and attendance at relevant Medicaid meetings
- Serve as the Subject Matter Expert (SME) for all questions related to Medicaid eligibility
- Verify patient eligibility for Medicaid benefits using various online systems and tools
- Assist patient with preliminary review of documentation and requirements for application for Medicaid, ensuring all required documentation is complete and accurate
- Confirm coverage details and determine patient benefits and process based on Medicaid guidelines
- Investigate Medicaid issues related to eligibility, deferrals, denials and re-certifications through contact with the Patient or Patient representative to identify the cause of eligibility related issues and offering recommendations for resolution

Documentation and Record Keeping:

- Maintain accurate and detailed records of verification processes and outcomes
- Update patient records in Salesforce to reflect current Medicaid status

Communication:

- Serve as a point of contact for Medicaid inquiries from clients, caregivers, and Health plan partners
- Assist clients in understanding Medicaid eligibility, benefits, and application processes
- Advocate for clients to ensure they receive appropriate Medicaid services
- Respond to inquiries from patients and healthcare providers regarding Medicaid coverage and eligibility

Collaboration and Support:

- Work closely with partnering departments to resolve any issues related to Medicaid coverage and recertification
- Assist with training staff members on Medicaid verification procedures and policies
- Collaborate with partnering departments, case managers, and other healthcare professionals to support patients' access to Medicaid benefits

Ideal Candidate Will Possess:

Associate degree or higher in healthcare administration, business, or a related field preferred
Minimum of 2 years of experience in healthcare, insurance verification, or a related field
Experience with Medicaid verification and understanding of Medicaid regulations is highly preferred
Proven track record of strong customer focus and adaptability in a high call volume environment (inbound and outbound)
A passion for providing a high level of customer service, including the ability to show empathy, active listening and patience
Effective written and verbal communication skills with the ability to engage with diverse audiences
Ability to multitask, set priorities, and manage time effectively
Technical proficiency with the ability to navigate through multiple systems; while maintaining attention to detail and data accuracy
Demonstrates fluency over all tools and resources specific to the role, with heavy reliance on Excel
Ability to embrace change and departmental growth in an evergreen environment

Why work at FreedomCare?

We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.

This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!

At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and do not discriminate based upon race, religion, color, national origin, ancestry, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, status as a protected veteran, status as an individual with a disability, citizenship or immigration status, or other applicable legally protected characteristics.

Quick Apply

Refine Your Search

eligibility specialist jobs in georgia

Medicaid Eligibility Specialist I (GA / Hybrid)

Eligibility & Benefits Specialist

Senior Claim Benefit Specialist - Remote

Patient Enrollment Specialist - Contractor

Remote - Enrollment Specialist

Accreditation Specialist

Communications Specialist

Claims Advocate Specialist

Claim Benefit Specialist

Scheduling Specialist II - Remote

Exam Administration Specialist I

Onboarding Specialist

Contact Center Customer Experience Specialist - Corporate Payment Services

Risk & Compliance Inquiry Specialist

Care Coordinator Authorization Scheduling Specialist- GYN Oncology

Patient Advocate Specialist

Records Management Specialist

Provider Network Specialist

Permit Specialist I, II, III

Housing Choice Voucher Program Specialist

I want to receive the latest job alert for eligibility specialist in georgia

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