Medicaid Eligibility Enrollment Specialist

Job Details: Job Location: Administration - Marion, IN, Education Level: High School/GED, Salary Range: Undisclosed, Are you passionate about helping people access the healthcare benefits and resources they need? Radiant Health is seeking a compassionate, organized, and detail-oriented Medicaid Eligibility & Enrollment Specialist to join our team!

In this rewarding role, you will help individuals navigate the Medicaid application and enrollment process, connect them with appropriate healthcare coverage, and provide ongoing support to ensure they can access the services they need. You’ll work directly with clients, healthcare providers, and government agencies to make the process easier and less overwhelming. Accessing healthcare coverage can feel overwhelming. As a Medicaid Eligibility & Enrollment Specialist, you’ll be the person who helps make that process easier. Your work will help individuals and families understand their options, complete applications, overcome barriers, and connect with the care they need.

What You'll Do:

Conduct client intake and eligibility pre-screening to determine appropriate Medicaid programs and urgent needs
Assist with application completion by collecting accurate personal, financial, and household information
Gather and verify required documentation to ensure all eligibility criteria are supported and compliant
Submit and process applications accurately within state systems and required timelines
Track application status and follow up with clients and agencies to resolve issues and prevent delays
Support application process and enrollment, ensuring clients understand benefits, coverage, and how to access care
Provide ongoing case support, including renewals, updates, and troubleshooting coverage issues
Maintain accurate records and ensure compliance with HIPAA, confidentiality, and quality standards
Coordinate with providers, case coordinators, and state agencies to ensure continuity and accuracy of services
Stay current on Medicaid policies and system updates to ensure accurate guidance and compliance
Perform other related duties as assigned within the scope and level of the position. 

To support a safe and healthy environment for the individuals we serve and for one another, all employees of Radiant Health are required to comply with organizational health and infection prevention requirements as a condition of employment. This includes providing documentation of immunization status, completing required health screenings, and adhering to communicable disease prevention protocols applicable to the role and work environment. Radiant Health will review requests for reasonable accommodation in accordance with applicable federal and state law.

 
Qualifications:
High school diploma or equivalent required; associate or bachelor’s degree preferred (social work, healthcare administration, or related field)
Experience with Medicaid, health insurance enrollment, or public assistance programs preferred
Strong data entry and computer skills
Excellent interpersonal and communication skills
Ability to meet with clients either in the community, in their home, or at a Radiant Health location to complete the necessary tasks
High attention to detail and accuracy