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Open nowPosted 10 days ago

Remote Medicare & Medicaid Eligibility Specialist (Advocate)

Centauri13 open roles

Where
Kansas, USA
Work mode
Remote
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Your applicationOpen nowRemote Medicare & Medicaid Eligibility Specialist (Advocate)Centauri · Kansas, USA

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The clock on this job

Early applications get read.

7.8% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 1.7%1 day
  2. 3.5%3 days
  3. 7.8%7 days
  4. 14.6%14 days
  5. 34.1%30 days
This job: posted 10 days ago

The posting

  Your Daily Mission (What You’ll Do)   At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicare members, a single phone call with our team can mean potentially saving on Medicare Premiums. We are looking for empathetic, driven individuals to join us as Medicare/Medicaid Eligibility Specialists (MMES). If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here.  You will be the voice of support and a trusted guide for members navigating the often-confusing world of government benefits.

Compassionate Conversations: Make and receive calls with members needing to apply for or obtain or retain Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).   The "Human Translator": Determine if individuals are eligible for Medicaid or LIS benefits through a series of simple questions.  When needed, explain complex regulations and eligibility requirements in simple, warm, and patient terms.   Application Mastery: Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification.  Regulatory Standards: Maintain strict adherence to HIPAA, state regulations, and company compliance standards.  Database Navigation: Simultaneously manage multiple software systems and databases to track member progress and documentation.   Schedule will be Monday to Friday, 11am to 7:30pm EST (9am to 5:30pm MST) 

The Ideal Advocate (Who You Are) You are the person friends and family turn to when they need help with something complicated.  

Experience: 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.   Subject Matter Interest: Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus.   Tech-Savvy: You are comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing, maintaining a warm conversation and documenting information in real time.   Patience: You remain calm and professional, when faced with obstacles you see these moments as opportunities to build trust.   Critical Thinker: You can manage difficult conversations and use probing questions to clarify information and find solutions.  

The Reality of the Role (Transparency Matters)    To thrive in this position, you should enjoy a structured, performance-driven environment. 

High-Volume Engagement: This is a phone-based role. You will spend your day making and receiving calls.  Scripted Excellence: To ensure total compliance, you will work within well-defined procedures. Your creativity comes from your tone and empathy while following the process.  Goal-Oriented: You will be expected to meet daily and weekly production and quality goals. Efficiency allows us to help more people.  Bonus: You will be eligible to receive bonus payments for exceptional performance. 

 

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