Top 1193 Eligibility specialist Jobs in Pennsylvania

Eligibility Specialist
Kinship Health PACE —Lancaster, PA
- Full-time
- Hybrid work
- Background check
- Mid-level
- Travel
- Health insurance
- Dental insurance
Quick Apply
Eligibility Specialist
Kinship Health PACE —Enola, PA
- Full-time
- Hybrid work
- Background check
- Mid-level
- Travel
- Health insurance
- Dental insurance
Quick Apply
9d
Benefits Verification Specialist
CVS Health —Pennsylvania
- $17.00 - $31.30 an hour
- Full-time
- Remote
- Microsoft Outlook
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Case Management Specialist
CVS Health —Pennsylvania
- $21.10 - $40.90 an hour
- Full-time
- Remote
- Spanish
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
12d
Remote - Enrollment Specialist
CareHarmony —Pennsylvania
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Intake Coordinator (County ID Program Specialist 1, LG) Delaware County MH/ID
Commonwealth of PA —Drexel Hill, PA
- $60,186 - $71,505 a year
- Urgently hiring
- Hybrid work
- Office
- Analysis skills
- Bachelor's degree
- Work from home
- Opportunities for advancement
3d
Grants Specialist - Trinity Health Mid-Atlantic
Trinity Health Mid-Atlantic —Langhorne, PA
- Full-time
- Remote
- Writing skills
- Research
- Mid-level
- Health insurance
- Dental insurance
Payroll Specialist
Legence —Pennsylvania
- $70,000 - $85,000 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- AD&D insurance
- Disability insurance
Quick Apply
Enrollment Specialist
PACE —Philadelphia, PA
- $7,500 a month
- Full-time
- Sales
- Mid-level
- Driver's License
- Paid holidays
- Dental insurance
5d
Support - Product Support Specialist
Aline —Pennsylvania
- $50,000 a year
- Weekends as needed
- Remote
- Microsoft Outlook
- Mid-level
- SQL
Quick Apply
Radiologist Support Specialist
RAYUS Radiology —Pittsburgh, PA
- Full-time
- Remote
- High school diploma or GED
- Continuous improvement
- Business Administration
- Paid holidays
- Disability insurance
Quick Apply
3d
Assessment/Case Manager Specialist
Crawford County Drug & Alcohol Executive Commission —Meadville, PA
- $37,359 - $39,812 a year
- 8 hour shift
- Background check
- Nursing
- Mid-level
- Mileage reimbursement
- Health insurance
Quick Apply
Health Specialist EHS
Council Of The Three Rivers American Indian Center, Inc. —Pittsburgh, PA
- $17.77 - $26.78 an hour
- Full-time
- CPR Certification
- Current TB test
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Housing Specialist
ActionAIDS —Philadelphia, PA
- $44,000 - $49,000 a year
- Full-time
- Hybrid work
- Master of Social Work
- Mid-level
- Office
Quick Apply
Housing Programs Loan Specialist
York County Planning Commission —York, PA
- $49,290 a year
- Full-time
- Background check
- Mid-level
- Finance
- Health insurance
- Dental insurance
Quick Apply
13d
ELRC Family Specialist - Quakertown
Community Services for Children —Quakertown, PA
- $21.38 an hour
- Full-time
- Spanish
- English
- Driver's License
- Paid holidays
- 401(k)
Quick Apply
ACT Mental Health Therapist/Specialist - $7,000 Hiring Bonus
Wesley Family Services —Greensburg, PA
- $44,000 - $46,000 a year
- Full-time
- Clean driving record
- Mid-level
- Master's degree
- Paid parental leave
- Paid holidays
Quick Apply
4d
Noregon Sales Professional
Noregon Systems Inc —Harrisburg, PA
- Extended hours
- Background check
- Computer literacy
- Research
- Health insurance
- Dental insurance
Quick Apply
Program Specialist - Erie Residential
Barber National Institute —Erie, PA
- Full-time
- Background check
- Mid-level
- Residential
- Health savings account
- Paid holidays
12d
Sales Acquisition Specialist
The J.G. Wentworth Company —King of Prussia, PA
- $60,000 - $85,000 a year
- Weekends as needed
- Office
- In-person
- Entry level
- Health savings account
- Paid holidays

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eligibility specialist jobs near pennsylvania

Eligibility Specialist

Kinship Health PACE -
Lancaster, PA

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance

Qualifications

Intake
Medicaid health insurance
Schedule management
Welfare benefit application assistance
Prospecting
Relationship management
Medicaid regulations
Medicaid
Process management

Full Job Description

JOB SUMMARY

The Eligibility Specialist for the PACE Program is responsible for guiding prospective participants through the eligibility and enrollment process, ensuring they understand the benefits of the program and qualify for services. The role also includes building relationships with the community by attending and scheduling events to promote the program and establishing a referral pipeline. As a hybrid position, the Intake Specialist will work across enrollment, intake, and marketing to help the PACE program reach its growth goals, but will primarily focus on the intake processes, including the Medicaid application process.

KEY RESPONSIBILITIES

Enrollment and Intake Process:

Serve as the primary point of contact for prospective PACE participants, ensuring they are informed about the program’s services and benefits.
Guide participants and their families through the eligibility and enrollment process, including explaining the criteria, assisting with Medicaid application paperwork, and verifying documentation.
Conduct assessments to determine eligibility and work closely with the interdisciplinary team to ensure proper care coordination during the intake process.

Community Outreach and Marketing:

Attend, schedule, and coordinate community outreach events to increase awareness of the PACE program and generate participant referrals.
Build and maintain relationships with community organizations, healthcare providers, senior centers, and other relevant agencies to develop a consistent referral pipeline.
Represent the PACE program at health fairs, senior expos, and other local events to inform the public about available services.
Assist with developing marketing materials and presentations to promote the PACE program in the community.

Referral and Relationship Management:

Develop and manage a network of referral sources, following up regularly to ensure a continuous flow of qualified leads.
Work with internal teams to improve the efficiency of the enrollment and intake process and ensure a seamless transition for new participants into the PACE program.

Documentation and Reporting:

Maintain accurate and up-to-date records of all prospective participants, including referral sources, intake information, and progress throughout the enrollment process.
Report on enrollment activities, including participant pipeline status, marketing efforts, and community outreach successes.
Ensure compliance with state and federal regulations regarding participant eligibility and program enrollment.
Other duties as assigned.

EDUCATION & EXPERIENCE

REQUIRED

At least 2 years of experience in enrollment, intake, marketing, or community outreach, preferably in healthcare or with a senior population.
Experience with PACE programs, long-term care, or healthcare services
Experience with state Medicaid enrollment processes required.
Must complete Background check/fingerprinting .

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Tuition reimbursement
Vision insurance

Experience:

enrollment, marketing, community outreach in healthcare: 2 years (Required)
Medicaid enrollment process : 1 year (Required)
PACE Program, LTACH: 1 year (Required)

Willingness to travel:

25% (Required)

Work Location: In person

Quick Apply

Refine Your Search

eligibility specialist jobs in pennsylvania

Eligibility Specialist

Eligibility Specialist

Benefits Verification Specialist

Case Management Specialist

Remote - Enrollment Specialist

Intake Coordinator (County ID Program Specialist 1, LG) Delaware County MH/ID

Grants Specialist - Trinity Health Mid-Atlantic

Payroll Specialist

Enrollment Specialist

Support - Product Support Specialist

Radiologist Support Specialist

Assessment/Case Manager Specialist

Health Specialist EHS

Housing Specialist

Housing Programs Loan Specialist

ELRC Family Specialist - Quakertown

ACT Mental Health Therapist/Specialist - $7,000 Hiring Bonus

Noregon Sales Professional

Program Specialist - Erie Residential

Sales Acquisition Specialist

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