Fresno, CA, 93744, USA
14 hours ago
Eligibility Specialist
The Eligibility Specialist is responsible for using their eligibility expertise to proactively address complex eligibility challenges and ensure seamless participant coverage. As a subject matter expert in Medicare or Medicaid Eligibility, the Specialist oversees resolution of escalated or complex eligibility cases. This position works directly with CMS, DHCS, and county Medicaid offices to troubleshoot eligibility issues, correct misalignments, and advocate for participants’ eligibility for the PACE program. This role also plays a key part in training internal teams, including Outreach & Enrollment and Social Work, to enhance organizational knowledge and prevent eligibility-related disruptions. The Eligibility Specialist collaborates effectively with colleagues and stakeholders to promote WelbeHealth values, team culture and mission. Minimum Requirements: + Associates Degree + must have 3 years of experience in relevant field working with Medicare, Medical and other public assistance programs. Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: + Competitive pay & weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan + Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
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