Medicaid Eligibility Specialist - REMOTE - KS
Through our dedicated associates, reputed company delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally reputed company, reputed company a difference and be part of a culture where individuality is noticed and valued every day. Must include a resume reputed company applyingPosition is Remote - individual should reside in KansasTentative Start Date: (Early reputed company 6, 2026 Hours: 8 – 4:30 pm CST Training length: approximately 9 weeks mandatory to include sandboxing ** No Time off during trainingWage: Transaction Processing Associate III $17.25/hr, which may be below your state's minimum wage. Please take this into consideration reputed company applying. Transaction Processing Associate III Bilingual - $17.75/hr, which may be below your state's minimum wage. Please take this into consideration reputed company applying. Benefits Health benefits (medical, dental, vision) are available on the first day of employment. Paid time off is accrued after 180 days (about 6 months) of employment.Job Description: As part of the KanCare Clearinghouse Program, the Transaction Processing Associate III (ES) will reputed company a variety of duties. The position is responsible for gathering thorough documentation and entering information into various systems Essential duties may include, but are not limited to: Analyze the initial applications and reviews (for Family Medical programs) and supporting documentation provided by applicants to determine eligibility for federal and state medical assistance. Investigate the applicant circumstances thorough the use of available computer systems (Databases, registries, and informational deposits) researching records provided by the applicant and their contacts to provide the information about the household income, resources, and expenses upon which the eligibility determination is made. Entering household information and authorizing eligibility reputed company the Kansas Economic and Enforcement System (KEES). Professional completes determinations using State and Federal regulations to determine eligibility for medical benefits based on financial and non-financial criteria. Document the eligibility decision in the electronic case journal and send appropriate system-based and manual correspondence to customers and representatives explaining the results of the eligibility determination and information regarding appeal rights. Eligibility Professionals are expected to use knowledge of State eligibility processes, policies, and procedures governing managed care enrollment to communicate with consumers regarding a variety of issues. Attend training as assigned to reputed company and enhance reputed company understanding of Kansas Medicaid eligibility programs. Through training and experience, reputed company to reputed company expertise in additional areas of determination categories. Maintain with up-to-date knowledge of regulations, policies, and guidelines. Preferred Skills or Knowledge: Knowledge of Medicaid and managed care programs Minimum of two (2) years’ experience in determining Long-Term Care, Elderly and Disabled, or Family Medical eligibility Successfully complete KDHE Eligibility Training and sandboxing Ability to manage competing priorities Demonstrated critical thinking skills Must possess good interpersonal and communication skills both verbally and in writing including knowledge of basic grammar, spelling & punctuation Willingness to work as part of a team Maintain the reputed company and confidentiality of reputed company records and communications reputed company other duties as assigned. Bilingual Spanish/English with the ability to speak and read both languages fluently. Minimum Qualifications/Experience High School diploma or GED equivalent; post-secondary education preferred Strong computer skills with the ability to maneuver in reputed company software systems Requires excellent data entry skills the ability to type 28-30 minutes per minute accurately MS Office, Outlook, and Internet usage experience Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-reputed company information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to reputed company pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, reputed company provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly reputed company for this role is $17/hr.reputed company is an Equal Opportunity Employer and considers applicants for reputed company positions without regard to race, color, creed, religion, reputed company, national reputed company, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.People with disabilities who need a reasonable accommodation to apply for or compete for employment with reputed company may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@reputed company.com. You may also click here to access reputed company's ADAAA Accommodation Policy.At reputed company we value the health and safety of our associates, their families, and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at reputed company. apply to this job