Eligibility Specialist- Medicaid
• *Job Title:** • Eligibility Specialist
- Location:**
• Remote (Preference for candidates near Austin, TX)
- Compensation:**
• $20/hour
- Benefits:**
• This position is eligible for medical, dental, and vision benefits, along with additional Addison Group contractor benefits
- Industry:**
• Healthcare / Social Services
- Work Schedule:**
• Monday–Friday, 8:00 AM – 5:00 PM CST
- About Our Client:**
• Addison Group is partnering with a large, mission-driven healthcare organization to hire an Eligibility Specialist. This organization supports individuals with a wide range of care needs and is currently expanding its operations, creating new opportunities within the team.
- Job Description:**
• The Eligibility Specialist will play a key role in verifying and managing patient eligibility, with a focus on Medicaid programs. This position requires someone who is detail-oriented, proactive, and comfortable navigating systems while advocating for timely approvals.
- Key Responsibilities:
- Review and confirm patient eligibility for state-funded healthcare programs, including Texas Medicaid
- Utilize online portals (such as TMHP) to verify coverage and submit or track eligibility-related requests
- Communicate with internal teams and external agencies to resolve eligibility issues and ensure timely processing
- Maintain accurate and up-to-date records within internal systems
- Proactively follow up on outstanding items and escalate when necessary to avoid delays
- Qualifications:
- High school diploma or GED required; associate degree preferred
- Prior experience working with Texas Medicaid programs strongly preferred
- Familiarity with TMHP portal and HCS program is a plus
- Comfortable working in a fast-paced environment and handling follow-ups assertively
- Strong organizational and communication skills
- Experience with Social Security processes is a plus
- Perks:
- Opportunity to join a stable and growing organization
- Work with a team focused on meaningful, community-based impact
- Remote flexibility with preference for local candidates
- Potential for long-term or permanent placement
- Additional Details:
- Addison Group is an Equal Opportunity Employer.
- Addison
- Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.
- Addison
Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.