Role Description At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicare members, a single phone call with our team can mean potentially saving on Medicare Premiums. We are looking for empathetic, driven individuals to join us as Medicare/Medicaid Eligibility Specialists (MMES). If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here.

• Compassionate Conversations:

Make and receive calls with members needing to apply for or obtain or retain Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).

• The "Human Translator":

Determine if individuals are eligible for Medicaid or LIS benefits through a series of simple questions. When needed, explain complex regulations and eligibility requirements in simple, warm, and patient terms.

• Application Mastery:

Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification.

• Regulatory Standards:

Maintain strict adherence to HIPAA, state regulations, and company compliance standards.

• Database Navigation:

Simultaneously manage multiple software systems and databases to track member progress and documentation.

Qualifications

• 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.
• Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus.
• Comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing.
• Ability to remain calm and professional, viewing obstacles as opportunities to build trust.
• Capable of managing difficult conversations and using probing questions to clarify information and find solutions.

Requirements

• Enjoy a structured, performance-driven environment.
• This is a phone-based role; you will spend your day making and receiving calls.
• Work within well-defined procedures to ensure total compliance.
• Meet daily and weekly production and quality goals.
• Eligible to receive bonus payments for exceptional performance.

Benefits

• Comprehensive medical, dental, vision, and prescription coverage.
• Wellness program supporting overall well-being.
• Company-paid basic life and AD&D insurance.
• 401(k) plan with company match.
• Tuition reimbursement opportunities.
• Paid time off for vacation and illness.
• Six paid company holidays.
• Floating holiday.
• Company-paid training and computer equipment.
• Performance-based bonus program.
• Paid time off for volunteer activities.
• Employee referral bonus program.
• Career development and training opportunities, including leadership growth.