Bilingual Medicare & Medicaid Eligibility Specialist – Advocate

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Dayforce

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🏢 Enterprise

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • Enterprise

Dayforce is a cloud-based human capital management (HCM) platform offered by Ceridian that unifies payroll, HR, benefits, workforce management, talent management, and time and attendance in a single application. It targets employers and HR teams with tools for payroll processing, scheduling, recruiting, performance management, and workforce analytics, delivered as a SaaS solution for enterprise and mid-market customers.

📋 Description

• 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. • Schedule will be Monday to Friday, 11am to 7:30pm EST (9am to 5:30pm MST)

🎯 Requirements

• Fluent in Spanish (speak, read, write) • Experience: 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service. • Subject Matter Interest: Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus. • Tech-Savvy: You are comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing, maintaining a warm conversation and documenting information in real time. • Patience: You remain calm and professional, when faced with obstacles you see these moments as opportunities to build trust. • Critical Thinker: You can manage difficult conversations and use probing questions to clarify information and find solutions.

🏖️ Benefits

• Bonus: You will be eligible to receive bonus payments for exceptional performance.