Eligibility and Enrollment Specialist

Central Health
Austin, TX
Eligibility and Enrollment Specialist Location Remote in Austin, TX : Overview: Under general supervision, refers, enrolls and/or assists customers in obtaining appropriate local or state funded healthcare coverage, and assists customers in resolving complex problems and complaints. Performs out stationed eligibility duties including submitting, tracking and troubleshooting State program applications. This position is considered Hybrid, which means that individuals in this position may work both at an approved Offsite location and Onsite at a primary location or multiple locations based on Business Needs Responsibilities: Essential Duties (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations):
  • Interview applicants in a professional and courteous manner to obtain appropriate demographic and household
information needed in order to screen clients for appropriate healthcare coverageprograms
  • Accurately enter client data, and collect, verify and scan appropriate documents into the eligibility database according
to Eligibility Policies and Procedures.
  • Accurately apply the Eligibility Policies and Procedures to determine client eligibility and enroll eligible clients into the
appropriate local and grant programs and assist clients with submitting applications for state and federal health coverage programs.
  • Track enrollment and troubleshoot State program applications as assigned
  • Inform and educate clients on program benefits, in person, over the phone, or through email.
  • Pay attention to details
  • Ability to work some weekend work, covering the Eligibility Call Center
Knowledge/Skills/Abilities:
  • Adding, subtracting, multiplying or dividing quickly and correctly and to understand and organize a problem and then to
select a mathematical method or formula to solve the problem
  • Using relevant information and individual judgment to determine whether events or processes comply with laws,
regulations, or standards
  • Work effectively with individuals from diverse backgrounds
  • Administrative and clerical procedures and systems such as word processing and data base systems, and other office
procedures and terminology
  • Interviewing techniques and proper interviewing etiquette
  • Conflict resolution techniques
  • Analyzing information and evaluating results to choose the best solution
  • Knowing how to find information and identifying essential information
  • Communicating effectively in speaking and writing as indicated by the needs of the audience
  • Coordinating activities by adjusting actions in relation to others' actions
  • Being aware of others' reactions and understanding why they react the way they do
  • Performing basic operations in Microsoft Office Suite
  • Listening to what other people are saying and asking questions as appropriate
  • Actively looking for ways to help people and establishing and maintaining effective working relationships
  • Efficiently shift back and forth between two or more activities or sources of information
  • Correctly follow a given rule or set of rules in order to arrange things or actions in a certain order including procedures,
orders or logical operations
  • Use deductive reasoning to apply general rules to specific problems to come up with logical answers and decide if an
answer makes sense
  • Communicate information and ideas in speaking and writing so others will understand
Qualifications: MINIMUM EDUCATION: High School Diploma or equivalent PREFERRED EDUCATION: Bachelor's Degree MINIMUM EXPERIENCE:
  • Three (3) years of related experience.
PREFERRED EXPERIENCE:
  • Experience assisting clients with applying for state or federal programs
  • Speak, read, and write Spanish fluently
Posted 2025-11-05

Recommended Jobs

Elevate Your Career Amidst Alpine's Scenic Beauty!

NurseRecruiter
Alpine, TX

Registered Nurse - Perioperative Nurse - Operating Room - Travel - (OR RN) Elevate your nursing career as a Registered Nurse in the Operating Room, where you'll master all aspects of perioperative ca…

View Details
Posted 2025-07-31

Assistant Community Manager

Westdale Asset Management
Austin, TX

Rate: $22.00 - $24.00 per hour (Hourly non-exempt position) ***Monthly new lease and renewal AND quarterly performance bonuses are paid in addition to base pay.*** We are searching for an Assistant …

View Details
Posted 2025-11-06

Property Maintenance - Supervisor | Assistant Chief Engineer

Holiday Inn Express & Suites Galveston
Houston, TX

Job Title: Assistant Chief of Engineering | Property Maintenance Supervisor Department: Engineering Supervisor: General Manager Summary This position supervises the maintenance operations…

View Details
Posted 2025-09-30

Rock Mechanics Engineer

NOV
Conroe, TX

JOB DESCRIPTION ReedHycalog is a leading oilfield drill‑bit manufacturer committed to innovation and technology advancement. This role sits within the PDC team focused on shaped cutter and insert …

View Details
Posted 2025-11-07

Assistant General Auditor

Popular Bank
San Juan, TX

Assistant General Auditor Location San Juan, PR (Santurce area) : Job Type Full Time Opportunity General Description Responsible for oversight of the operations of the Line of Business, Operat…

View Details
Posted 2025-10-30

COOK (FULL TIME)

Compass Group
Houston, TX

  We are hiring immediately for full time COOK positions. Location : Energy Center 5 Cafe - 915 North Eldridge Parkway, Houston, TX 77079. Note: online applications accepted only . Sched…

View Details
Posted 2025-09-30

Sanitation Supervisor

Pharr, TX

Job Description Sanitation Supervisor PeopleReady of Brownsville, TX is now hiring Sanitation Supervisors in Pharr, TX!  Apply today and you could start as soon as this week.  As a PeopleRe…

View Details
Posted 2025-11-06

Billing Coordinator

goehringdental
Austin, TX

Job Overview We need a trustworthy and experienced Billing Coordinator to join our Accounting Department. As a Billing Coordinator, you will be preparing billing papers for our customer’s billi…

View Details
Posted 2025-10-07

Dermatologist (Prosper, TX)

CEDENT
Prosper, TX

Client is seeking a board-certified or board-eligible dermatologist to join our new private practice in Prosper, TX—a rapidly growing suburb just north of Dallas. This is an excellent opportunity to w…

View Details
Posted 2025-08-19

Benefit Sales

AO Globe Life
Kent, TX

Location: 100% Remote (U.S. Based) Employment Type: Full-Time / Flexible Hours Compensation: $90,000–$120,000/year Extras: Weekly Pay | Equity Opportunity | Bonus Program | Vested Renewal…

View Details
Posted 2025-11-06