JOB SUMMARY This position is for an Eligibility Specialist whose responsibility is to support LRMC ... This position reports to the Manager of Patient Financial Services. JOB QUALIFICATIONS * Minimum ...
New
JOB SUMMARY This position is for an Eligibility Specialist whose responsibility is to support LRMC ... This position reports to the Manager of Patient Financial Services. JOB QUALIFICATIONS * Minimum ...
New
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of benefits.
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of benefits.
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of SNAP benefits ...
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of SNAP benefits ...
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of SNAP benefits ...
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of SNAP benefits ...
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of benefits. What we ...
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of benefits. What we ...
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of SNAP benefits ...
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of SNAP benefits ...
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of benefits.
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management to monitor quality, quantity, and timeliness of benefits.
Medicaid Eligibility Advocate
Pooler, GA · On-site
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
Medicaid Eligibility Advocate
Pooler, GA · On-site
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management. In this role you will:
Eligibility Associate TSEP/CRT
$18.75 - $25.25/hr
Job Title: Eligibility Associate TSEP/CRT Agency: Family and Children Services, Division of Job ... Performs general office management duties, including keyboarding, filing, generating, and managing ...
Eligibility Associate TSEP/CRT
$18.75 - $25.25/hr
Job Title: Eligibility Associate TSEP/CRT Agency: Family and Children Services, Division of Job ... Performs general office management duties, including keyboarding, filing, generating, and managing ...
HR Eligibility Specialist
Atlanta, GA · On-site
Previous Experience working with state governmental agencies as an eligibility specialist ... Manage time efficiently by establishing priorities in accordance with importance of deadlines
HR Eligibility Specialist
Atlanta, GA · On-site
Previous Experience working with state governmental agencies as an eligibility specialist ... Manage time efficiently by establishing priorities in accordance with importance of deadlines
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management tomonitorquality, quantity, and timeliness of benefits. Roles and ...
Eligibility Specialist Supervisor Agency: Family and Children Services, Division of Job Requisition ... Maintains a system of management tomonitorquality, quantity, and timeliness of benefits. Roles and ...
HR Eligibility Specialist
Atlanta, GA · On-site +1
Previous Experience working with state governmental agencies as an eligibility specialist Previous ... Manage time efficiently by establishing priorities in accordance with importance of deadlines.
HR Eligibility Specialist
Atlanta, GA · On-site +1
Previous Experience working with state governmental agencies as an eligibility specialist Previous ... Manage time efficiently by establishing priorities in accordance with importance of deadlines.
Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and ... As a Medicaid Eligibility Representative, you will work directly within our client hospitals ...
Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and ... As a Medicaid Eligibility Representative, you will work directly within our client hospitals ...
Eligibility Coordinator
$17.75 - $24.25/hr
Enrolls on-line management (Portal) users and maintains accounts * Enrolls new members and/or processes terminations * Works with multiple departments to coordinate eligibility requirements
Quick apply
Eligibility Coordinator
$17.75 - $24.25/hr
Enrolls on-line management (Portal) users and maintains accounts * Enrolls new members and/or processes terminations * Works with multiple departments to coordinate eligibility requirements
Medicaid Eligibility Specialist (Onsite) - Atlanta
Atlanta, GA · On-site
$19 - $23/hr
Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and ... As a Medicaid Eligibility Representative, you will work directly within our client hospitals ...
Medicaid Eligibility Specialist (Onsite) - Atlanta
Atlanta, GA · On-site
$19 - $23/hr
Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and ... As a Medicaid Eligibility Representative, you will work directly within our client hospitals ...
Eligibility Manager information
What is an eligibility manager?
An Eligibility Manager is a professional responsible for overseeing and managing the process of determining if individuals or groups qualify for specific programs, benefits, or services. They typically work for government agencies, healthcare organizations, or insurance companies. Their duties include supervising eligibility staff, ensuring compliance with policies and regulations, and resolving complex eligibility determinations or appeals. Eligibility Managers play a crucial role in making sure that assistance is provided to those who meet the necessary requirements, while preventing fraud and misuse of resources.
What are the key skills and qualifications needed to thrive as an eligibility manager, and why are they important?
To thrive as an Eligibility Manager, you need expertise in eligibility determination, compliance regulations, and case management, often supported by a bachelor's degree in social work, public administration, or a related field. Familiarity with eligibility management systems, case tracking software, and knowledge of relevant federal and state regulations is typically required. Strong leadership, problem-solving, and communication skills help in managing teams and resolving complex eligibility cases. These competencies are vital for ensuring accurate eligibility determinations, regulatory compliance, and efficient program operations.
What are the most common challenges faced by an eligibility manager in ensuring compliance with changing regulations?
Eligibility Managers often encounter challenges related to staying up-to-date with frequently changing federal, state, and local regulations that impact program eligibility criteria. They must ensure that their team is properly trained on new policies and that all documentation and procedures remain compliant. Additionally, balancing high caseloads while maintaining accuracy and timeliness in processing applications can be demanding. Effective communication with both applicants and internal departments is crucial to navigate complex cases and resolve discrepancies efficiently.
What is the difference between Eligibility Manager vs Claims Specialist?
| 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.
What are the most commonly searched types of Eligibility jobs in Georgia?
The most popular types of Eligibility jobs in Georgia are:
What are popular job titles related to Eligibility Manager jobs in Georgia?
For Eligibility Manager jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Eligibility Manager jobs in Georgia look for?
The top searched job categories for Eligibility Manager jobs in Georgia are:
What cities in Georgia are hiring for Eligibility Manager jobs?
Cities in Georgia with the most Eligibility Manager job openings:
Full-time
Posted 2 days ago
New
Job description
JOB SUMMARY
This position is for an Eligibility Specialist whose responsibility is to support LRMC’s access, enrollment, and financial navigation efforts by identifying uninsured, self-pay, underinsured, and financially vulnerable patients who may qualify for Medicaid, hospital financial assistance, medication assistance, or other community-based support programs. This role will conduct real-time eligibility screenings, assist patients with application and recertification processes, gather required documentation, and coordinate referrals to appropriate benefit programs, including Medicaid, SNAP, prescription assistance, and other social support resources. Working closely with the IP/ER Care Coordinators, Patient Access, Financial Counseling, and Centralized Scheduling teams, the Eligibility Specialist will help reduce financial barriers that prevent patients from obtaining follow-up care, prescriptions, preventive services, and chronic disease management. This position will improve payer conversion, reduce uncompensated care, strengthen continuity of care, and support long-term sustainability by helping eligible patients move from self-pay status into appropriate coverage or assistance programs. This position reports to the Manager of Patient Financial Services.
JOB QUALIFICATIONS
- Minimum level of Education: Education level equivalent to completion of four (4) years of high school preferred. College level courses helpful.
- Formal Training: Completion of Hometown Health University online classes required
- Licensure, Certifications & Registration: None required.
- Work Experience: Prior collection experience working in a hospital/healthcare billing setting preferred
About Liberty Regional Medical Center
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Hinesville, GA, US
Year founded
1961