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Randstad USA

Care Management Support Coordinator II

Entry-Level JobVerifiedNo experience needed

Career Insights for Eligibility Specialist

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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.

$46,315 / year median in the U.S.

+19% projected growth

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Job Description

care management support coordinator ii.mcallen, texas (remote)posted 3 days ago job detailssummary$20

•$21 per hourtemporaryhigh schoolcategoryoffice and administrative support occupations reference AB_5036806 job details Job Description Performs administrative care management support activities such tracking compliance, verifying eligibility, and collaboration with state stakeholders and staff to resolve issues in accordance with current state and regulatory guidelines. Track Compliance (Use and read reports to track and monitor members requesting services.) Monitor the Postings email box daily for urgent state complaints inquiries. Uploading and download spreadsheets from sftp portal. Navigate through multiple systems. (adaptability) Perform daily quality checks. Case studies/audits to escalate accordingly. Outreach to Internal and external stakeholders Data Entry Verify member eligibility. All employees go through corporate Onboarding training Tracking Team Training

•Peer-to-Peer Requirements Collaboration with Service Coordination and State Support Unit Compliance tracking and MCO to MCO transfers Staffing changes Quickly fill the position to aid in the day to day and backlog M-F 8:00 am

•5: ppm CST No OT on a regular basis: mandatory OT may be required occasionally

Compliance Tracking Preferred:

Thorough knowledge of customer service, utilization of review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer.

Excel and computing skillssalary:

$20

•$21 per hourshift: Firstwork hours: 8 AM

•5

PMeducation:

High SchoolResponsibilitiesMonitor the Postings email box daily for urgent state complaints inquiries. Uploading and download spreadsheets from sftp portal. Navigate through multiple systems. (adaptability) Perform daily quality checks. Case studies/audits to escalate accordingly. Outreach to Internal and external stakeholders Data Entry Verify member eligibility. All employees go through corporate Onboarding trainingSkillsData EntryTrack ComplianceMonitor QualificationsYears of experience: 0 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer:

Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.



At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.



Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).This posting is open for thirty (30) days. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.