Top 445 Eligibility specialist Jobs in Philadelphia Pa

State Adherence Specialist I (PA / Remote)
FreedomCare —Philadelphia, PA
- $23 - $25 an hour
- Remote
- Spanish
- HIPAA
- Research
- Disability insurance
- Health insurance
Quick Apply
7d
Criminal Justice System Specialist 1
Commonwealth of PA —Philadelphia, PA
- $53,008 - $80,646 a year
- Full-time
- Office
- 1 year
- Entry level
- Paid parental leave
- Health insurance
Enrollment Specialist
PACE —Philadelphia, PA
- $7,500 a month
- Full-time
- Sales
- Mid-level
- Driver's License
- Paid holidays
- Health insurance
Behavior Specialist (LBS or BCBA required)
Deep Roots Charter School —Philadelphia, PA
- $60,000 - $80,000 a year
- Full-time
- School experience
- Classroom
- Experience working with individuals with disabilities
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Medicaid Eligibility Specialist (PA / Hybrid)
FreedomCare —Philadelphia, PA
- $23 - $25 an hour
- Hybrid work
- Mid-level
- Office
- Home Health
- Health insurance
- Retirement plan
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7d
Client Service Specialist
JPMorganChase —Philadelphia, PA
- Full-time
- Windows
- Communication skills
- Entry level
- Health insurance
- Tuition reimbursement
1d
Quality Assurance Administrator (County Children Youth Families Program Specialist 2) (Local Govt.)
Commonwealth of PA —Chester, PA
- $80,110 - $110,243 a year
- Urgently hiring
- Hybrid work
- Mid-level
- Office
- 3 years
- Work from home
- Opportunities for advancement
3d
(USA) Member Specialist
Sam's Club —Philadelphia, PA
- $18.50 - $26.50 an hour
- High school
- Merchandising
- Continuous improvement
- Paid jury duty
- Disability insurance
County Intellectual Disabilities Program Specialist 1 (Local Government) Delaware County MH/ID
Commonwealth of PA —Drexel Hill, PA
- $60,186 - $71,505 a year
- Urgently hiring
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Work from home
- Opportunities for advancement
9d
Family Services Specialist - ELRC 18
Public Health Management Corporation —Philadelphia, PA
- Childcare
- 5 years
- Writing skills
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14d
Application Support Specialist
City of Philadelphia —Philadelphia, PA
- $65,000 - $74,907 a year
- Email
- Research
- Mid-level
- 3 years
- Wellness program
- Paid holidays
Quick Apply
Certification Specialist
CRM Residential —Philadelphia, PA
- $24 - $26 an hour
- Overtime
- Pass drug screening
- Office
- Residential
WAIVER INTAKE SPECIALIST
My Independence at Home —Philadelphia, PA
- Full-time
- Public Health
- Entry level
Clinical Pharmacy Specialist - Emergency Department
Nemours —Wilmington, DE
- Full-time
- PALS Certification
- 5 years
- BLS Certification
1d
Veterinary Internal Medicine Specialist
Philadelphia Animal Specialty & Emergency (PASE) —Philadelphia, PA
- Part-time
- Senior level
- Communication skills
- Teaching
- Continuing education credits
- Paid parental leave
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
Billing Specialist
Bryn Mawr Medical Specialists Association —Bryn Mawr, PA
- $18 an hour
- 8 hour shift
- High school diploma or GED
- Organizational skills
- Computer skills
- Paid holidays
- Health insurance
Quick Apply
Behavior Specialist - School Based
Zen Educate US —Feasterville-Trevose, PA
- $20 an hour
- Full-time
- Background check
- Classroom
- CPR Certification
- Health insurance
- 401(k)
9d
Dental Billing Specialist
Philadelphia Mills Dental Center —Philadelphia, PA
- Part-time
- Dental office
- Mid-level
- Communication skills
Quick Apply
Manager, SAP S4 Public Cloud Professional Services Automation (PSA)
KPMG —Philadelphia, PA
- $145,350 - $253,230 a year
- Full-time
- Finance
- Bachelor's degree
- Continuous improvement
- Disability insurance
- Health insurance

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State Adherence Specialist I (PA / Remote)

FreedomCare -
Philadelphia, PA

Quick Apply

Job Details

$23 - $25 an hour
7 days ago

Benefits

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

Qualifications

Quality control corrective actions
Optimizing workflow processes
Spanish
Criminal background research
Expiration dates monitoring
Clinical compliance checks
Quality of care (regulatory compliance area)
HIPAA
Healthcare documentation compliance audits
Employee relationship building
Research
Administrative experience
Medical administrative support
Analysis skills
Records management
Health insurance knowledge
Continuous improvement
Task prioritization
Customer relationship management (CRM) systems (technically supported)
Healthcare privacy protection
Quality improvement
Quality compliance management
Health information regulatory compliance
Regulatory readiness in healthcare
Document quality checks
Medicaid regulations
Medicaid
Immigration compliance
Home healthcare regulations
Investigating compliance violations

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 State Adherence Specialist I for our team in Pennsylvania.

This is a remote position.

Department & Position Overview:

The State Adherence Specialist I is responsible for maintaining continuous regulatory compliance across FreedomCare's active patient and caregiver population. This role owns the ongoing compliance of assigned cases throughout the Pre-Care and On-Care lifecycle by ensuring enrollment documentation, onboarding activities, and ongoing regulatory requirements remain complete, accurate, and compliant with Department of Health (DOH), Department of Labor (DOL), federal, state, payer, program, and company requirements.

Rather than functioning as a one-time quality checkpoint, the State Adherence Specialist I helps maintain FreedomCare's continuous state of audit readiness by proactively identifying compliance risks, partnering with Operations to resolve documentation deficiencies, and ensuring every assigned case remains compliant throughout the duration of care.

Using established procedures, regulatory guidance, and standardized workflows, this individual maintains accurate, audit-ready documentation while exercising sound judgment, attention to detail, and a commitment to operational excellence.

Every Day You Will:

Own the ongoing compliance of assigned patient and caregiver cases throughout the Pre-Care and On-Care lifecycle.
Review, validate, and maintain enrollment documentation to ensure compliance with DOH, DOL, federal, state, payer, and company requirements.
Verify caregiver eligibility requirements, including criminal background checks, FBI fingerprinting (where applicable), I-9 Employment Eligibility Verification, E-Verify, medical clearances, and state-specific documentation.
Monitor expiring documents, annual renewals, and ongoing regulatory requirements to maintain continuous compliance.
Identify documentation deficiencies and collaborate with Operations to implement timely corrective actions.
Maintain complete, accurate, and audit-ready documentation within company systems.
Provide compliance guidance to internal teams regarding documentation requirements and regulatory processes.
Support internal and external audits by preparing documentation, validating records, and responding to audit requests.
Research routine compliance questions and escalate complex regulatory issues to senior team members.
Maintain compliance with HIPAA, organizational privacy standards, and company policies while safeguarding confidential information.
Contribute to continuous process improvement by identifying opportunities to improve compliance workflows and documentation quality.
Maintain current knowledge of regulatory updates, departmental procedures, and operational changes affecting assigned programs.

Ideal Candidate Will Possess:

1–2 years of experience in healthcare operations, onboarding, compliance, quality assurance, medical records, or administrative support preferred.
Experience reviewing confidential documentation with a high degree of accuracy.
Interest in learning and applying Department of Health (DOH), Department of Labor (DOL), Medicaid, payer, and state-specific regulatory requirements.
Strong attention to detail with the ability to identify documentation discrepancies and compliance risks.
Excellent organizational, analytical, and time management skills.
Strong written and verbal communication skills.
Ability to interpret and consistently apply established policies, procedures, and regulatory guidance.
Ability to work in a fast-paced, technology-driven environment while managing multiple priorities.
Demonstrates accountability, professionalism, adaptability, and continuous learning.
Maintains strict adherence to HIPAA, organizational confidentiality standards, and regulatory requirements.
Positive, service-oriented attitude with strong customer focus.
Exceptional attention to detail and organizational skills.
Ability to prioritize multiple assignments while meeting deadlines.
Strong analytical and critical thinking abilities.
Excellent verbal and written communication skills.
Ability to build collaborative relationships across Operations and cross-functional teams.
Comfortable learning new regulations, technology platforms, and operational processes.

Nice-to-Haves:

Associate's degree preferred; equivalent work experience considered.
3 + years of experience in healthcare operations, compliance, onboarding, quality assurance, medical records, or related administrative functions.
Bilingual in Spanish or other languages desired
Experience with CRMs or Workforce Technology

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

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, or other applicable legally protected characteristics.

Quick Apply

Refine Your Search

eligibility specialist jobs in philadelphia pa

State Adherence Specialist I (PA / Remote)

Criminal Justice System Specialist 1

Enrollment Specialist

Behavior Specialist (LBS or BCBA required)

Medicaid Eligibility Specialist (PA / Hybrid)

Client Service Specialist

Quality Assurance Administrator (County Children Youth Families Program Specialist 2) (Local Govt.)

(USA) Member Specialist

County Intellectual Disabilities Program Specialist 1 (Local Government) Delaware County MH/ID

Family Services Specialist - ELRC 18

Application Support Specialist

Certification Specialist

WAIVER INTAKE SPECIALIST

Clinical Pharmacy Specialist - Emergency Department

Veterinary Internal Medicine Specialist

Housing Specialist

Billing Specialist

Behavior Specialist - School Based

Dental Billing Specialist

Manager, SAP S4 Public Cloud Professional Services Automation (PSA)

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

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