Eligibility Manager
$34.52 - $37/hr
This position plans, organizes and manages the day-to-day operations of the Eligibility Division, comprised of several levels of eligibility technicians with responsibility for assessing and ...
$34.52 - $37/hr
This position plans, organizes and manages the day-to-day operations of the Eligibility Division, comprised of several levels of eligibility technicians with responsibility for assessing and ...
$34.52 - $37/hr
This position plans, organizes and manages the day-to-day operations of the Eligibility Division, comprised of several levels of eligibility technicians with responsibility for assessing and ...
Guaynabo, PR · On-site
$20 - $27/hr
The Eligibility Analyst needs to work closely with the Eligibility Manager, the program staff and in collaboration with the subrecipients to reach the goals and objective of the program. Duties and ...
Guaynabo, PR · On-site
$20 - $27/hr
The Eligibility Analyst needs to work closely with the Eligibility Manager, the program staff and in collaboration with the subrecipients to reach the goals and objective of the program. Duties and ...
Dallas, TX · On-site
The Enrollment & Eligibility Manager will be responsible to oversee day to day activities related to enrollment and eligibility operations in order to accomplish the business and their team ...
Dallas, TX · On-site
The Enrollment & Eligibility Manager will be responsible to oversee day to day activities related to enrollment and eligibility operations in order to accomplish the business and their team ...
Houston, TX 77074 Eligibility Manager Bilingual - Sharpstown (Job Overview) Schedule: Monday-Friday (8AM-5PM) Are you someone who thrives on making a positive impact in the lives of others? At Legacy ...
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Houston, TX 77074 Eligibility Manager Bilingual - Sharpstown (Job Overview) Schedule: Monday-Friday (8AM-5PM) Are you someone who thrives on making a positive impact in the lives of others? At Legacy ...
Eligibility Manager Position Overview: Position is directly involved in establishing and documenting client eligibility for various programs and benefits Job Duties & Responsibilities: * Responsible ...
Eligibility Manager Position Overview: Position is directly involved in establishing and documenting client eligibility for various programs and benefits Job Duties & Responsibilities: * Responsible ...
Cleveland, OH · On-site
$20 - $24/hr
Communicate with the Eligibility Manager and/or Team Lead about any delays affecting eligibility. * Keep accurate and detailed notes on correspondence with participants and Medicare/Medicaid agencies.
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Cleveland, OH · On-site
$20 - $24/hr
Communicate with the Eligibility Manager and/or Team Lead about any delays affecting eligibility. * Keep accurate and detailed notes on correspondence with participants and Medicare/Medicaid agencies.
Seattle, WA · On-site
$49.15/hr
Purpose The Medicaid Enrollment and Eligibility Manager leads Neighborcare Health's eligibility and enrollment operations to support uninsured patients in accessing Medicaid, Washington ...
Seattle, WA · On-site
$49.15/hr
Purpose The Medicaid Enrollment and Eligibility Manager leads Neighborcare Health's eligibility and enrollment operations to support uninsured patients in accessing Medicaid, Washington ...
Houston, TX 77074 Eligibility Manager Bilingual - Sharpstown (Job Overview) Schedule: Monday-Friday (8AM-5PM) Are you someone who thrives on making a positive impact in the lives of others? At Legacy ...
Houston, TX 77074 Eligibility Manager Bilingual - Sharpstown (Job Overview) Schedule: Monday-Friday (8AM-5PM) Are you someone who thrives on making a positive impact in the lives of others? At Legacy ...
Seattle, WA · On-site
$49.15/hr
Purpose The Medicaid Enrollment and Eligibility Manager leads Neighborcare Health's eligibility and enrollment operations to support uninsured patients in accessing Medicaid, Washington ...
Seattle, WA · On-site
$49.15/hr
Purpose The Medicaid Enrollment and Eligibility Manager leads Neighborcare Health's eligibility and enrollment operations to support uninsured patients in accessing Medicaid, Washington ...
The Information & Eligibility Manager supervises, monitors, and supports staff responsible for client eligibility determination and data collection activities related to physical and electronic case ...
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The Information & Eligibility Manager supervises, monitors, and supports staff responsible for client eligibility determination and data collection activities related to physical and electronic case ...
Maitland, FL · On-site
$57K/yr
The Information & Eligibility Manager supervises, monitors, and supports staff responsible for client eligibility determination and data collection activities related to physical and electronic case ...
Maitland, FL · On-site
$57K/yr
The Information & Eligibility Manager supervises, monitors, and supports staff responsible for client eligibility determination and data collection activities related to physical and electronic case ...
Laredo, TX · On-site
$17 - $23/hr
Directly supervised by the Eligibility Manager. TYPICAL PHYSICAL DEMANDS: Requires sitting, standing, walking, kneeling, reaching, bending, etc. May require moving up to 25 pounds. Requires regular ...
Laredo, TX · On-site
$17 - $23/hr
Directly supervised by the Eligibility Manager. TYPICAL PHYSICAL DEMANDS: Requires sitting, standing, walking, kneeling, reaching, bending, etc. May require moving up to 25 pounds. Requires regular ...
Kansas City, MO · Hybrid
$15/hr
The eligibility center hires seasonal staff members for each eligibility cycle to help with ... Tasks include retrieving physical mail daily, sorting/scanning documents, managing electronic test ...
Kansas City, MO · Hybrid
$15/hr
The eligibility center hires seasonal staff members for each eligibility cycle to help with ... Tasks include retrieving physical mail daily, sorting/scanning documents, managing electronic test ...
Layton, UT · On-site +1
$15.50 - $20/hr
Maintain, update, and manage employee enrollment and eligibility files with accuracy and timeliness. * Process and track eligibility changes, including new enrollments, terminations, qualifying ...
Layton, UT · On-site +1
$15.50 - $20/hr
Maintain, update, and manage employee enrollment and eligibility files with accuracy and timeliness. * Process and track eligibility changes, including new enrollments, terminations, qualifying ...
$15.50 - $20/hr
Maintain, update, and manage employee enrollment and eligibility files with accuracy and timeliness. * Process and track eligibility changes, including new enrollments, terminations, qualifying ...
Quick apply
$15.50 - $20/hr
Maintain, update, and manage employee enrollment and eligibility files with accuracy and timeliness. * Process and track eligibility changes, including new enrollments, terminations, qualifying ...
Mesa, AZ · On-site
Work is performed under the direct supervision of the Eligibility Manager at each site. EXPECTATIONS Every Adelante employee will strive to maximize their performance and contribution to Adelante ...
Mesa, AZ · On-site
Work is performed under the direct supervision of the Eligibility Manager at each site. EXPECTATIONS Every Adelante employee will strive to maximize their performance and contribution to Adelante ...
$33.23 - $41.67/hr
Work in conjunction with the enrollment and eligibility manager to conduct quality assurance audits to ensure registration and eligibility processes are completed according to clinic policies ...
$33.23 - $41.67/hr
Work in conjunction with the enrollment and eligibility manager to conduct quality assurance audits to ensure registration and eligibility processes are completed according to clinic policies ...
Work is performed under the direct supervision of the Eligibility Manager at each site. EXPECTATIONS Every Adelante employee will strive to maximize their performance and contribution to Adelante ...
Work is performed under the direct supervision of the Eligibility Manager at each site. EXPECTATIONS Every Adelante employee will strive to maximize their performance and contribution to Adelante ...
Jeffersonville, IN · On-site
$18/hr
Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...
Jeffersonville, IN · On-site
$18/hr
Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...
East Chicago, IN · On-site
$18/hr
Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...
East Chicago, IN · On-site
$18/hr
Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...
$14.18 - $15.95
2% of jobs
$15.95 - $17.72
17% of jobs
$18.23 is the 25th percentile. Wages below this are outliers.
$17.72 - $19.49
22% of jobs
The median wage is $20.49 / hr.
$19.49 - $21.26
17% of jobs
$21.26 - $23.03
8% of jobs
$24.80 is the 75th percentile. Wages above this are outliers.
$23.03 - $24.80
9% of jobs
$24.80 - $26.57
7% of jobs
$26.57 - $28.34
6% of jobs
$28.34 - $30.11
4% of jobs
$30.11 - $31.88
4% of jobs
$31.88 - $33.65
3% of jobs
$14
$22
$33
| Criteria | Eligibility Manager | Claims Specialist |
|---|---|---|
| Required credentials | Typically requires a high school diploma or associate degree; certifications like Certified Eligibility Specialist are common | Usually requires a high school diploma; certifications like Certified Claims Professional are beneficial |
| Work environment | Office setting, healthcare or insurance companies | Office setting, healthcare or insurance companies |
| Employer and industry usage | Used in healthcare, insurance, government agencies | Used in healthcare, insurance, and related sectors |
| Common search and comparison intent | Understanding roles, responsibilities, and qualifications | Understanding differences in claims processing and eligibility |
Eligibility Managers focus on verifying patient or client eligibility for services or benefits, ensuring compliance with policies. Claims Specialists handle processing and adjudicating insurance claims, focusing on reimbursement and accuracy. While both roles operate within healthcare and insurance sectors, Eligibility Managers primarily verify eligibility, whereas Claims Specialists manage claims processing.

$34.52 - $37/hr
Other
Posted 5 days ago
Job Application Fairness Act In accordance with CO SB23-058, applicants understand that La Plata County will not request or require the applicant to include their age, date of birth, or date of attendance/graduation date on the initial application. Applicants understand that La Plata County can request or require an individual to provide documentation including copies of certification, transcripts, and other materials created by a third party. The applicant understands that the applicant can redact, if they so choose, information that identifies age, date of birth, or dates of attendance/graduation from an educational institution on those requested/required certification, transcripts and other materials created by a third party.
Equal Employment Opportunity La Plata County is proud to be an Equal Opportunity Employer and is committed to the full inclusion of all qualified individuals. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status, or any other protected status in accordance with applicable law. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process and/or to perform essential job functions where the requested accommodation does not impose an undue hardship.
If you have a disability and require a reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your request to HRHelpDesk@lpcgov.org. * * * * * * * * * This job description is not intended to be a comprehensive list of activities, duties or responsibilities for this job. The duties, expectations and actions listed for this role may change at any time with or without notice
* * * * * * * * * Job Summary Join our innovative and dynamic team. This position manages and provides support for state and federal programs, including SNAP, Medical Assistance, Colorado Works, Adult Financial, and CCCAP. Must have knowledge of Colorado rules and regulations related to public assistance programs & recent experience in CBMS.
Experience in personnel management, developing & implementing procedures based on laws, rules, & policies, and responding to crisis situations preferred. Job duties include supporting new and experienced eligibility technicians, collaborating with other unit managers and trainers, completing thorough case reviews, and monitoring and enforcing state deadlines. Flexibility, ability to multitask, excellent time management and computer skills are required.
This position plans, organizes and manages the day-to-day operations of the Eligibility Division, comprised of several levels of eligibility technicians with responsibility for assessing and determining eligibility of clients for various human services programs as well as monitoring clients completing work-force activities, a training unit, and a claims/fraud unit; participates in preparation of annual budget for division; prepares reports on division activities; develops and implements revisions to programs offered based on new or revised rules, laws or regulations; collaborates with outside agencies to enhance delivery of services to clients. Essential Job Functions Essential functions may include any of the following tasks, knowledge, skills and other characteristics. The list that follows is not intended as a comprehensive list; it is intended to provide a representative summary of the major duties and responsibilities.
Incumbent(s) may not be required to perform all duties listed, and may be required to perform additional, position-specific tasks. Reasonable accommodations, as defined under the American with Disabilities Act, will be made when possible. Plans, organizes and supervises employees in the day-to-day operations of the Eligibility Division; supervises overall work performance and daily activities of employees; provides training and review of work; interviews and makes hiring decisions; conducts performance appraisals and related management actions.
Plans long-range goals and objectives for the division. Provides information, advice, feedback, or assistance to others within the department to refine work outputs or resolve problems. Collaborates with community agencies to share information and to provide services and benefits to eligible individuals in an efficient manner.
Monitors monthly, weekly, and daily distribution of work to insure state required timeliness as well as county level goals are met. Monitors case load distribution, work activities, monthly federal participation rate, and makes recommendations for changes when needed. Authorizes cash payments to clients, supportive services monies and diversion grants.
Ensures that work is in compliance with all state and county rules, regulations, policies and procedures. Keeps current on new and revised federal, state and county policies and procedures; develops and implements changes as needed to ensure division is following most recent requirements. Schedules meetings with other department members to exchange information on issues of concern to the entire department and to coordinate services and functions of the agency.
Participates in annual budget preparation; provides recommendations regarding division needs. Maintains records and files; prepares statistical and other reports as required. Maintains and upgrades professional knowledge, skills, and development by attending seminars and training programs and reading trade and professional journals and publications.
Performs other related duties as assigned. Regular and predictable attendance is required. MATERIAL AND EQUIPMENT USED: Computer(s) General Office Equipment Calculator Copier Printer Shredder Minimum Qualifications Required Education and Experience: Bachelor's degree from an accredited four-year college or university in Social Work, Psychology or a related field; and, Five years of progressively responsible related experience; or Any combination of education, training and experience which provides the required knowledge, skills, and abilities to perform the essential functions of the job.
Licenses and Certifications: None. Knowledge, Skills and Abilities Knowledge of: Administrative principles and practices, including goal setting and implementation. Administration of staff and activities, either directly or through subordinate supervision.
Budgetary principles and practices. Community resources available to assist clients. Recordkeeping, report preparation, filing methods and records management techniques.
Correct English usage, including spelling, grammar, punctuation, and vocabulary. Policies, procedures, philosophies, rules and regulations governing the services to clients. Applicable state, federal and local ordinances, laws, rules and regulations.
Methods and techniques of research, statistical analysis and report presentation. All computer applications and hardware related to performance of the essential functions of the job. Skill in: Using interviewing techniques.
Using tact, discretion, initiative and independent judgment within established guidelines. Preparing clear and concise reports, correspondence and other written materials. Organizing work, setting priorities, meeting critical deadlines, and following up on assignments with a minimum of direction.
Applying logical thinking to solve problems or accomplish tasks; to understand, interpret and communicate complicated policies, procedures and protocols. Using a computer to accurately and rapidly enter and retrieve data and information. Using mathematics.
Communicating clearly and effectively, both orally and in writing. Planning, organizing, assigning, directing, reviewing and evaluating the work of staff. Selecting and motivating staff and providing for their training and professional development.
Ability to: Ability to respond to each client with empathy and respect. Ability to de-escalate and manage crisis situations. Ability to establish and maintain effective working relationships with a variety of individuals.
Ability to define problems, collect data, establish facts and draw valid conclusions. Ability to analyze complex problems and develop appropriate solutions. Ability to read, analyze and interpret professional periodicals and journals, technical procedures and government regulations.
Non-Discrimination and EEO Statement La Plata County prohibits discrimination against or harassment of any person employed or seeking employment with La Plata County on the basis of race, color, religion, sex (including pregnancy), age, national origin, disability, veteran status, political affiliation, sexual orientation, gender identity, marital status or genetic information. La Plata County is an equal opportunity employer and assures equal employment opportunities for protected classes, persons with disabilities and for covered veterans. Covered veterans include: special disabled veterans, recently separated veterans, Vietnam era veterans, or any other veterans who served on active duty during a war or in a campaign or expedition for which a campaign badge was authorized.
Inquiries regarding La Plata County's equal employment opportunity policies may be directed to: Director of Human Resources 1101 E 2nd Avenue Durango, CO 81301 Tel: (970)382-6361 Fax: (970)375-7985 Email: HRHelpdesk@lpcgov.org
Sourced by ZipRecruiter
201 - 500 Employees
Durango, CO, US
1946