Top 439 Eligibility specialist Jobs in Philadelphia Pa

Medicaid Eligibility Specialist (PA / Hybrid)
FreedomCare —Philadelphia, PA
- $23 - $25 an hour
- Hybrid work
- Mid-level
- Office
- Home Health
- Health insurance
- Retirement plan
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
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
4d
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
10d
State Adherence Specialist I (PA / Remote)
FreedomCare —Philadelphia, PA
- $23 - $25 an hour
- Remote
- Spanish
- HIPAA
- Research
- Disability insurance
- Health insurance
Quick Apply
7d
Administrative Specialist-Supervisory-Non Confidential
City of Philadelphia —Philadelphia, PA
- $69,691 - $89,591 a year
- Online Application
- Computer literacy
- Mid-level
- Office
- Paid parental leave
- Paid holidays
11d
Records Management Specialist
Ardent Eagle Solutions —Philadelphia, PA
- $65,000 - $110,000 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
1d
Reading Specialist Eligibility Application 2026-2027
The School District Of Philadelphia —Philadelphia, PA
- Full-time
- School experience
- Classroom
- Master's degree
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
Quick Apply
Family Services Specialist - ELRC 18
Public Health Management Corporation —Philadelphia, PA
- Childcare
- 5 years
- Writing skills
Quick Apply
14d
Senior Employee and Labor Relations Specialist
City of Philadelphia —Philadelphia, PA
- $78,538 - $100,969 a year
- Online Application
- Research
- Office
- Residential
- Paid parental leave
- Paid holidays
10d
WAIVER INTAKE SPECIALIST
My Independence at Home —Philadelphia, PA
- Full-time
- Public Health
- Entry level
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
URBN Leave of Absence Specialist
URBN —Philadelphia, PA
- Full-time
- OSHA
- Writing skills
- HIPAA
- Paid parental leave
- Health insurance
Client Service Specialist
JPMorganChase —Philadelphia, PA
- Full-time
- Windows
- Communication skills
- Entry level
- Health insurance
- Tuition reimbursement
1d
Certification Specialist
CRM Residential —Philadelphia, PA
- $24 - $26 an hour
- Overtime
- Pass drug screening
- Office
- Residential
Psychological Services Specialist, DHS, Southeast Youth Development Center Montgomery County
Commonwealth of PA —Collegeville, PA
- $69,086 - $104,959 a year
- Full-time
- Pass drug screening
- Mid-level
- Master's degree
- Paid parental leave
- Health insurance
2d
Victim Witness Specialist
KMRG, LLC —Philadelphia, PA
- $29.55 - $34.64 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- Writing skills
21h
(USA) Member Specialist
Sam's Club —Philadelphia, PA
- $18.50 - $26.50 an hour
- High school
- Merchandising
- Continuous improvement
- Paid jury duty
- Disability insurance

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Medicaid Eligibility Specialist (PA / Hybrid)

FreedomCare -
Philadelphia, PA

Quick Apply

Job Details

$23 - $25 an hour
7 days ago

Benefits

Health insurance
Retirement plan

Qualifications

Customer communication
Medicaid health insurance
Medicaid regulations
Medicaid

Full Job Description

FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.

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 for our Pennsylvania Operations Team.

This is a hybrid role that requires a regularly scheduled commute/travel to our main office in Pittsburgh, Philadelphia, and/or the FreedomCare hub closest to you.

Department & Position Overview:

The Medicaid Eligibility Specialist focuses on enhancing the patient's experience by facilitating the approval process, to allow them to receive our service. The Medicaid Specialist responsible for expediting the time it takes for them to enroll into our programs.

The Specialist focuses on maintaining eligibility with current consumers' service by maintaining active Medicaid status through Medicaid recertification and monthly spend down obligations.

The Specialist will be responsible for ensuring compliance with all relevant regulations. The Specialist 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:

Medicaid Eligibility

Provide clients with information and guidance on Medicaid eligibility requirements and benefits
Address client inquiries and concerns related to Medicaid applications, renewals, and coverage
Manage alternative resources for clients to meet Medicaid eligibility requirements
Conduct client education sessions on Medicaid programs and benefits
Subject matter expert relative to Pennsylvania Medicaid spenddown requirements through the clients' pre-care & on care status

Medicaid Renewal Processing:

Monitor and manage the Medicaid renewal process for existing clients
Notify clients of upcoming renewal deadlines and assist with the submission of required documentation
Ensure that renewals are processed in a timely manner to avoid lapses in coverage

Documentation and Record Keeping:

Maintain accurate and detailed records of verification processes and outcomes
Update patient records in salesforce to reflect current Medicaid status
Design Medicaid eligibility and spenddown process along with trackability reports in Salesforce

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
Identify and resolve issues that may affect clients' Medicaid eligibility or coverage
Work with government agencies and other stakeholders to address and resolve complex Medicaid-related cases

Ideal Candidate Will Possess:

Associate's or Bachelor's degree in Social Work, Healthcare Administration, Public Health, or a related field preferred
Minimum of 2 years of experience in Medicaid, healthcare, or social services
Experience in client support, case management, or benefits coordination
Minimum of 2 years of understanding of the Medicaid eligibility and application process for the state of Pennsylvania
Excellent organizational and time management skills
Proficient in using case management software and other relevant technology
Strong communication and interpersonal skills, with the ability to work effectively with diverse populations
Ability to analyze complex information and make informed decisions

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 philadelphia pa

Medicaid Eligibility Specialist (PA / Hybrid)

Criminal Justice System Specialist 1

Enrollment Specialist

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

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

State Adherence Specialist I (PA / Remote)

Administrative Specialist-Supervisory-Non Confidential

Records Management Specialist

Reading Specialist Eligibility Application 2026-2027

Behavior Specialist (LBS or BCBA required)

Family Services Specialist - ELRC 18

Senior Employee and Labor Relations Specialist

WAIVER INTAKE SPECIALIST

Application Support Specialist

URBN Leave of Absence Specialist

Client Service Specialist

Certification Specialist

Psychological Services Specialist, DHS, Southeast Youth Development Center Montgomery County

Victim Witness Specialist

(USA) Member Specialist

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

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