Talent.com
Medicaid Eligibility Specialist

Medicaid Eligibility Specialist

Russell TobinPhoenix, Arizona, United States
6 days ago
Job type
  • Full-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 Driver’s 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 employee’s 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.

    Create a job alert for this search

    Eligibility Specialist • Phoenix, Arizona, United States

    Related jobs
    • Promoted
    Patient Claims Specialist

    Patient Claims Specialist

    Phoenix StaffingPhoenix, AZ, US
    Full-time
    Join Us At Modernizing Medicine.We are united in our mission to make a positive impact on healthcare.Join us! We are Modernizing Medicine! We're a team of bright, passionate, and positive problem-s...Show moreLast updated: 5 days ago
    Bilingual Adoptions Specialist

    Bilingual Adoptions Specialist

    Arizona Humane SocietyPhoenix, AZ, USA
    Full-time
    Quick Apply
    Bilingual Adoptions Specialist.The Arizona Humane Society is looking for a dedicated and motivated Bilingual Adoptions Specialist to join our. Up to 8 paid holidays per year.Medical, Dental and Visi...Show moreLast updated: 30+ days ago
    • Promoted
    ACA / Medicare Risk Adjustment Analyst Sr.

    ACA / Medicare Risk Adjustment Analyst Sr.

    Baylor Scott & White HealthPhoenix, AZ, United States
    Full-time
    The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound / outbound process issues, ...Show moreLast updated: 30+ days ago
    • Promoted
    Specialist, Appeals & Grievances

    Specialist, Appeals & Grievances

    Arizona StaffingScottsdale, AZ, US
    Full-time
    Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the...Show moreLast updated: 14 days ago
    • Promoted
    Specialist, Claims Recovery (Remote)

    Specialist, Claims Recovery (Remote)

    Arizona StaffingPhoenix, AZ, US
    Remote
    Full-time
    Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine ...Show moreLast updated: 6 days ago
    Medical Claims Specialist - Hybrid - Free Healthcare Benefit for Entire Family!

    Medical Claims Specialist - Hybrid - Free Healthcare Benefit for Entire Family!

    Redirect Health IncPhoenix, Arizona, United States, 85004
    Full-time
    At Redirect Health, we're on a mission to make healthcare accessible and affordable for everyone.We are currently accepting applications for. We're hiring detail-oriented and collaborative individua...Show moreLast updated: 30+ days ago
    • Promoted
    Specialist, Claims Recovery (Remote)

    Specialist, Claims Recovery (Remote)

    Remote StaffingScottsdale, AZ, US
    Remote
    Full-time
    Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine ...Show moreLast updated: 6 days ago
    Patient Access Specialist - Specialty Pharmacy

    Patient Access Specialist - Specialty Pharmacy

    AssistRxPhoenix, AZ, US
    Full-time
    Quick Apply
    This role works directly with healthcare providers & insurance plans / payers to gather information about a patient’s insurance and the coverage provided for a specific pharmaceutical product.Thi...Show moreLast updated: 30+ days ago
    Health Insurance Verification Specialist

    Health Insurance Verification Specialist

    Get Me HealthcareScottsdale, AZ, USA
    Full-time
    Quick Apply
    Are you the type who catches every detail others miss? Do you thrive in fast-paced environments where precision matters?. If you're ready to play a vital role in ensuring the accuracy and integrity ...Show moreLast updated: 30+ days ago
    Stability Specialist

    Stability Specialist

    Maggie's PlacePhoenix, AZ, USA
    Full-time
    Quick Apply
    The Stability Specialist provides direct support and guidance to foster strength and overall well-being of both mothers and the AmeriCorps team. This position provides direct case management to the ...Show moreLast updated: 30+ days ago
    • Promoted
    Moving Help Specialist

    Moving Help Specialist

    Phoenix StaffingPhoenix, AZ, US
    Full-time
    Location : 2727 N Central Ave, Phoenix, Arizona 85004 United States of America U-Haul is looking for an organized, friendly, and motivated call center representative who can work out of our Phoenix ...Show moreLast updated: 3 days ago
    • Promoted
    Claims Adjustment Specialist

    Claims Adjustment Specialist

    USAAGuadalupe, AZ, US
    Full-time
    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the 1 choice for the...Show moreLast updated: 7 days ago
    • Promoted
    Medical Director Utilization Management - Clinical Advocacy and Support - Remote in US

    Medical Director Utilization Management - Clinical Advocacy and Support - Remote in US

    UnitedHealth GroupScottsdale, AZ, United States
    Remote
    Full-time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show moreLast updated: 30+ days ago
    • Promoted
    Independence Program Specialist

    Independence Program Specialist

    Wounded Warrior ProjectPhoenix, AZ, United States
    Full-time
    We know these are some of the things people look for in a job.If you're the kind of person who believes that honoring and empowering our nation's veterans is more than just a cause - that it's a ca...Show moreLast updated: 30+ days ago
    • Promoted
    Moving Help Specialist

    Moving Help Specialist

    Arizona StaffingPhoenix, AZ, US
    Full-time
    Location : 2727 N Central Ave, Phoenix, Arizona 85004 United States of America U-Haul is looking for an organized, friendly, and motivated call center representative who can work out of our Phoenix ...Show moreLast updated: 13 days ago
    • Promoted
    211 Program Specialist I

    211 Program Specialist I

    Solari, Inc.Tempe, AZ, United States
    Full-time
    Full-time Remote Opportunity - Applicants must reside in Arizona.The 211 Program Specialist responds to calls from the community to identify needs and provide the appropriate follow-up and connecti...Show moreLast updated: 30+ days ago
    • Promoted
    Liability Specialist

    Liability Specialist

    Erie Insurance GroupPhoenix, AZ, US
    Full-time
    Exercises independent discretion and judgement in claims handling involving complex liability issues, to include coverage issues and severe injury claims. The successful candidate will work from hom...Show moreLast updated: 6 days ago
    Early Intervention Specialist

    Early Intervention Specialist

    Soar Autism CenterPhoenix, Arizona, United States, 85003
    Full-time
    Soar Autism Center is hiring for an.As a care provider at our center, you will apply behavioral and developmental strategies to assist in our childrens development. Provide attentive one-on-one care...Show moreLast updated: 7 days ago