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Heart to Heart Home Care

Intake & Eligibility Specialist (Healthcare)

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$51,009 / year median in New Jersey

+24% projected growth

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Job Description

About the Role Heart to Heart Home Care is seeking a highly motivated, tech-savvy Intake & Eligibility Specialist to join our growing team. This role is ideal for someone who enjoys working with technology, solving problems, and helping patients navigate healthcare services. The ideal candidate is detail-oriented, thrives in a fast-paced environment, learns new software quickly, and is comfortable managing multiple tasks while delivering exceptional customer service. What You'll Do Manage new patient referrals from start to finish. Verify insurance eligibility and Medicaid coverage. Coordinate with hospitals, physicians, insurance plans, and community partners. Utilize multiple software systems to document patient information accurately. Track referral progress and proactively follow up to ensure timely admissions. Educate patients and families on available home care services. Schedule assessments and coordinate with clinical staff. Maintain accurate documentation while meeting productivity goals. Communicate professionally with internal teams and external partners. What We're Looking For Tech-savvy with the ability to learn new software quickly. Excellent computer skills, including Microsoft Office and web-based applications. Strong multitasking and organizational skills. Exceptional communication and customer service skills. Ability to think critically and solve problems independently. Comfortable working in a fast-paced, metrics-driven environment. High attention to detail with strong documentation skills. Healthcare, insurance, call center, intake, or customer service experience preferred. Preferred Qualifications Experience with Medicaid, Medicare, MLTC, MAP, or home care services. Knowledge of EMR/EHR systems. Bilingual (English/Spanish) is a plus. Why Join Heart to Heart Home Care? Competitive pay Paid training Career growth opportunities Collaborative and supportive team environment Meaningful work helping patients receive the care they need Performance recognition and advancement opportunities Ideal Candidate You're someone who: Enjoys learning new technology. Loves solving complex problems. Takes ownership of your work. Communicates confidently with patients and healthcare professionals. Thrives in a fast-paced environment where no two days are the same. Wants to build a long-term career in healthcare operations.
Pay:
$18.00 - $21.00 per hour
Benefits:
401(k) Paid sick time Paid time off
Work Location:
In person