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Role Description

We are looking for Remote Consumer Eligibility Specialist to join our elite teams. As a Remote Consumer Eligibility Specialist, you’ll deliver an amazing consumer experience, helping millions of consumers across the country navigate the mystery of health insurance enrollment through our award-winning cloud-based tools.

• Consumer Support: Handle inbound and outbound calls, providing the highest level of service consistently.
• Primary Focus: Interview applicants to collect essential financial details to facilitate the healthcare enrollment process.
• Data Entry: Accurate application data entry and management of online chat inquiries.
• Problem Solving: Utilize creative problem-solving skills to assist consumers with plan selection and eligibility determination.
• Compliance: Interpret and follow defined procedures, policies, and regulated guidelines for all communication channels.
• Training: Participate in extensive self-study and testing; maintaining eligibility is dependent upon passing required certification exams.

Qualifications

• Minimum 1–2 years of experience interpreting and applying Medicaid policies and regulations, determining Medicaid eligibility in a public assistance or professional environment.
• Previous Eligibility or Managed Care Organization (MCO) Enrollment Counseling Specialist experience is a plus.
• Moderate to advanced computer skills with a high level of comfort learning new technology.
• Excellent verbal and written communication skills with a self-motivated, success-driven attitude.

Requirements

• Age: Must be 18 years of age or older.
• Background: Must complete a background check and drug test within 3 days of offer.
• Connection: Cable/Fiber Broadband Internet with a hard-wired ethernet connection is required.
• Compatibility: NOT compatible with Mobile Internet Service Providers (e.g., T-Mobile), Satellite, Wi-Fi internet access, or Wi-Fi adapters/extenders.
• Internet Speed: Minimum 35 mb/s with ethernet.
• Hardware: Personal device with a functioning camera is required for the initial 3-week training period.
• Pre-Employment Assessment: Candidates will be evaluated on a core competency set that includes written and verbal communication, technical proficiency (computer and internet navigation), and fundamental mathematical skills.

Benefits

• Competitive Pay: $17.50 per hour, plus performance incentives.
• Competitive Pay: $19.50 Spanish Bilingual per hour, plus performance incentives.
• Paid Training: Committed full attendance for a paid 3-week training period.
• Growth: Many opportunities to grow within the largest state-based marketplace footprint in the country.