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Medicaid Eligibility Specialist

Medicaid Eligibility Specialist

Russell TobinPhoenix, AZ, US
15 days ago
Job type
  • Full-time
  • Part-time
Job description

Russell Tobin's client a health insurance company is hiring Eligibility Specialists in Phoenix AZ.

Job Title : Community Assistor Medicaid / Eligibility Specialist

Department : Medicaid

Location : Phoenix, AZ (remote)

Pay Rate : $19 - 20.85hr.

FLSA Status : Exempt / Nonexempt

Schedule : Full-time (40+ hours per week; evenings and weekends as needed)

Job Type : Contract

We are seeking a Community Assistor (Eligibility Specialist) to support Medicaid members through application renewals, outreach, and enrollment activities. This role focuses on ensuring a positive member experience, assisting with eligibility processes, and strengthening relationships with community partners.

  • Level 1 Eligibility Specialist (Grade 9) :
  • Conducts HEAplus application renewals with current members during interactive interviews, supporting member retention efforts.
  • Level 2 Senior Eligibility Specialist (Grade 10) :
  • Leads and assists in planning, developing, and organizing community outreach events and activities that drive enrollment and engagement.

Key Responsibilities

  • Conduct HEAplus application renewals and assist members in completing required forms and documentation.
  • Uphold member care standards and maintain confidentiality of personal information.
  • Build and foster relationships with community organizations and referral sources.
  • Represent company Medicaid programs at community events and outreach initiatives.
  • Communicate complex processes in a clear, step-by-step manner for members.
  • Maintain professional relationships with internal and external partners.
  • Submit required reports and summaries on processed applications.
  • Maintain a secure, private workspace for handling member information.
  • Perform additional duties as assigned.
  • Qualifications

    Required

  • Experience (Level 1) :
  • 1 year of telephonic customer service experience
  • 1 year of experience in outreach, marketing, or community relations
  • Experience (Level 2) :
  • 1 year of telephonic customer service experience
  • 3 years of experience in outreach, marketing, or health plan services
  • Education :
  • High School Diploma or GED
  • Licenses :
  • Valid Arizona Drivers License with an acceptable driving record
  • Preferred

  • Experience with AHCCCS / Medicaid, CHIP, health promotion, social services, or related fields
  • Bilingual in English and Spanish
  • Skills & Competencies

  • Strong customer service and communication skills (verbal and written)
  • Ability to multitask and manage time effectively in a fast-paced environment
  • Proficiency with Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
  • Strong interpersonal, organizational, and presentation skills
  • Ability to work independently while meeting deadlines and performance goals
  • Understanding of Medicaid and Medicare regulations and guidelines
  • Comfortable working evenings and weekends as needed
  • Ability to lift up to 25 pounds
  • Work Environment

    This is a full-time position requiring at least 40 hours per week, plus additional hours as needed.

    A dedicated, private work area is required to ensure confidentiality of sensitive member information.

    Benefits that Russell Tobin offers :

    Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.

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    Eligibility Specialist • Phoenix, AZ, US

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