Top 54 Enrollment and eligibility representative Jobs in Nevada

Medicaid Eligibility Specialist II (Las Vegas, NV / Hybrid)
FreedomCare —Las Vegas, NV
- $20 - $23 an hour
- Monday to Friday
- Hybrid work
- Spanish
- English
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
5d
Call Center Remote Customer Service Representative
VIMO INC —Nevada
- $17.00 - $18.50 an hour
- Full-time
- Remote
- Background check
- 18 years or older
- Spanish
- Paid training
- Paid time off
Quick Apply
Enrollment Coordinator
Success Education Colleges —Las Vegas, NV
- $20 - $23 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- High school diploma or GED
- Paid holidays
- Dental insurance
Quick Apply
Speech Language Pathologist
Legacy Traditional Schools —North Las Vegas, NV
- Full-time
- Classroom
- Experience working with individuals with disabilities
- Mid-level
- Health insurance
- Dental insurance
Customer Engagement Representative 1
Renown Health —Reno, NV
- Part-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Patient Access Representative
Renown Health —Reno, NV
- Full-time
- Hospital
- Computer literacy
- HIPAA
Spanish Bilingual Remote Customer Service Representative
VIMO INC —Henderson, NV
- $19.00 - $20.50 an hour
- Full-time
- Remote
- Background check
- 18 years or older
- Spanish
- Paid training
- Paid time off
Quick Apply
Financial Assistance Specialist
Renown Health —Reno, NV
- Full-time
- Microsoft Word
- Spanish
- Hospital
Patient Access Representative - Urgent Care Ryland
Renown Health —Reno, NV
- Part-time
- Computer literacy
- Urgent Care
- HIPAA
Patient Access Representative - Night Shift
Renown Health —Reno, NV
- Full-time
- Hospital
- Computer literacy
- HIPAA
Admissions Representative
Milan Institute —Sparks, NV
- Full-time
- Mid-level
- High school diploma or GED
- University
- Paid holidays
- Health insurance
Quick Apply
Patient Access Representative - Incentivized Career Ladder
Renown Health —Reno, NV
- Full-time
- Hospital
- Computer literacy
- HIPAA
Admissions Representative
Unitek College Of Nursing —Reno, NV
- $25 - $30 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- University
- Paid holidays
- Dental insurance
Quick Apply
Patient Access Representative (Day Shift)
Renown Health —Reno, NV
- Full-time
- Hospital
- Computer literacy
- HIPAA
2d
Nurse Apprentice
Sierra Basin Post Acute —Carson City, NV
- Part-time
- Skilled nursing facility
- High school diploma or GED
- Ability to lift 50 pounds
Quick Apply
Benefits Customer Service Representative (Temporary)
Gallagher —Las Vegas, NV
- $18 - $21 an hour
- Temporary
- Spanish
- Computer literacy
- Office
3d
SOCIAL SERVICES CHIEF 3
State of Nevada —Reno, NV
- Full-time
- Writing skills
- Office
- Bachelor's degree
2d
Human Resources Generalist
Commence —Las Vegas, NV
- $70,000 - $80,000 a year
- Online Application
- 5 years
- Computer literacy
- Mid-level
Quick Apply
Therapist - Full-Time
Nevada Behavioral Health / NovumHealth —Las Vegas, NV
- $95,000 a year
- Full-time
- Background check
- LMFT
- Writing skills
- Paid holidays
- Health insurance
Career & Technical Education (CTE) Coordinator One Year Only (Ends June 2027)
Washoe County School District —Washoe County, NV
- Full-time
- School experience
- High school
- Writing skills
- Paid holidays
- Health insurance
11d

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Medicaid Eligibility Specialist II (Las Vegas, NV / Hybrid)

FreedomCare -
Las Vegas, NV

Quick Apply

Job Details

$20 - $23 an hour
5 days ago

Benefits

Internet reimbursement
Disability insurance
Health insurance
Dental insurance
Vision insurance
401(k) matching
Gym membership
Life insurance

Qualifications

Spanish
Customer communication
English

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 Nevada team.

This role is a hybrid position with required travel to our Las Vegas, NV FreedomCare office 3 days a week and 2 days remote Monday through Friday 9AM to 6PM.

Department & Position Overview:

The Medicaid Eligibility Specialist I 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 I 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 Nevada Medicaid'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.
Bilingual Spanish/English required
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?

Benefits include:

Medical, dental, and vision insurance
Life insurance
Short-term and long-term disability insurance
401(k) with company match
Continuing education and professional development opportunities
Opportunities for career growth
Wellness programs
Gym reimbursement
Internet reimbursement
Competitive compensation
Technology and tools designed to support communication, documentation, and care coordination

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

enrollment and eligibility representative jobs in nevada

Medicaid Eligibility Specialist II (Las Vegas, NV / Hybrid)

Call Center Remote Customer Service Representative

Enrollment Coordinator

Speech Language Pathologist

Customer Engagement Representative 1

Patient Access Representative

Spanish Bilingual Remote Customer Service Representative

Financial Assistance Specialist

Patient Access Representative - Urgent Care Ryland

Patient Access Representative - Night Shift

Admissions Representative

Patient Access Representative - Incentivized Career Ladder

Admissions Representative

Patient Access Representative (Day Shift)

Nurse Apprentice

Benefits Customer Service Representative (Temporary)

SOCIAL SERVICES CHIEF 3

Human Resources Generalist

Therapist - Full-Time

Career & Technical Education (CTE) Coordinator One Year Only (Ends June 2027)

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