Massachusetts Licensed Eligibility Specialist

Job Summary

Providing support for eligibility activities, the full-time Massachusetts Licensed Eligibility Specialist will conduct candidate pre-screening, assist members with coverage renewals, and facilitate outreach to potential program participants while working remotely.

Key responsibilities

• Conduct candidate pre-screening for eligibility and assist members with coverage and recertification processes
• Participate in performance improvement activities and ensure superior customer service for all members
• Document member contacts and track eligibility status, ensuring timely submission of required documentation to state agencies

Required qualifications

• At least 2 years of experience in healthcare, preferably in eligibility, screening, or application processing
• Experience in health insurance, home care, or long-term care settings
• Knowledge of current community health practices
• Proficiency in navigating multiple software and electronic documentation systems
• Strong organizational and time-management skills