Mayaguez, PR · Remote
$16 - $21.75/hr
Remote-NearShore Job Type: Full-time About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping ...
Mayaguez, PR · Remote
$16 - $21.75/hr
Remote-NearShore Job Type: Full-time About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping ...
A Remote Medicaid job involves working from home to assist with Medicaid-related tasks such as processing applications, verifying eligibility, providing customer support, or managing claims. These roles can be in healthcare organizations, government agencies, or insurance companies. Responsibilities may include data entry, policy compliance, and assisting beneficiaries with their Medicaid coverage.
In a Remote Medicaid position, you can expect to review and process Medicaid applications, verify eligibility, and communicate with clients or healthcare providers to gather necessary documentation. The role often involves handling sensitive client information, conducting case management tasks, and ensuring compliance with federal and state Medicaid guidelines. You may also coordinate with other team members, such as social workers, nurses, or billing specialists, using virtual collaboration tools. This remote setup allows you to manage caseloads efficiently while maintaining ongoing communication with both clients and your support team.
To thrive in a Remote Medicaid role, you typically need knowledge of Medicaid eligibility and policy, strong organizational skills, and relevant experience in healthcare administration or case management. Familiarity with Medicaid Management Information Systems (MMIS), electronic health records (EHR), and secure telehealth platforms is highly valuable, and some positions may require certification in medical billing or coding. Outstanding attention to detail, excellent verbal and written communication, and the ability to work independently in a remote environment are crucial soft skills. These abilities ensure accurate case handling, regulatory compliance, and efficient service delivery to vulnerable populations from a distance.
The most popular types of Medicaid jobs in Puerto Rico are:
For Remote Medicaid jobs in Puerto Rico, the most frequently searched job titles are:
The top searched job categories for Remote Medicaid jobs in Puerto Rico are:
$16 - $21.75/hr
Full-time
Posted 7 days ago
6.5
Based on 57 frontline employees who took The Breakroom Quiz
28th of 71 rated call and contact centers
Work Location: Remote-NearShore
Job Type: Full-time
About Firstsource
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.
Our clientele includes Fortune 500 and FTSE 100 companies.
Job Description:
Conduct outbound calls and/or campaigns when directed.
Thoroughly document all customer transactions in host system.
Adhere to scheduled shifts to ensure optimal phone coverage.
Ensure compliance to all regulatory guidelines.
Safeguard and secure all PHI from misuse in strict accordance with Information Security Policies and Procedures.
Follow safety guidelines outlined by Illness and Injury Prevention Program.
Specific qualifications for this medical role include:
High School diploma or GED
1 Year Call Center Exp
Six months healthcare claims experience.
Ability to read and interpret general business correspondence, procedure manuals, and specific plan documents
Basic mathematical skills
Intermediate typing skillsOther requirements include:Sitting for long periods of timeFlexibility of schedule especially when overtime is in placePrivate/secured room without distraction
Ability to multitask
Specific to processing: Able to look for data entry differences
Following written directions (emails, SOP documents)
Self-motivation
Ability to prioritize work
Thinking outside the box and making judgement calls
Ability to adapt to change
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