Remote Medicare & Medicaid Eligibility Specialist (Advocate)

About Us

Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1,100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and as 2026 Best in KLAS for ADT Notifications.

Responsibilities

• Make and receive calls with members needing to apply for or obtain or retain Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).
• Determine eligibility for Medicaid or LIS benefits through a series of simple questions; explain complex regulations and eligibility requirements in simple, warm, and patient terms.
• Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification.
• Maintain strict adherence to HIPAA, state regulations, and company compliance standards.
• Simultaneously manage multiple software systems and databases to track member progress and documentation.

Requirements

• 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.
• Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus.
• Comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing, maintaining a warm conversation and documenting information in real time.
• Ability to remain calm and professional when faced with obstacles, seeing these moments as opportunities to build trust.
• Strong critical thinking skills to manage difficult conversations, use probing questions to clarify information, and find solutions.

To thrive in this position, you should enjoy a structured, performance-driven environment. This is a high-volume, phone-based role where you will work within well-defined procedures to ensure compliance. You will be expected to meet daily and weekly production and quality goals.

Schedule

Monday to Friday, 11:00 AM to 7:30 PM EST (9:00 AM to 5:30 PM MST).

Benefits

• Comprehensive medical, dental, vision, and prescription coverage.
• Wellness program supporting overall well-being.
• Company-paid basic life and AD&D insurance.
• 401(k) plan with company match.
• Tuition reimbursement opportunities.
• Paid time off for vacation and illness.
• Six paid company holidays plus one floating holiday.
• Company-paid training and computer equipment.
• Performance-based bonus program.
• Paid time off for volunteer activities.
• Employee referral bonus program.
• Career development and training opportunities, including leadership growth.

Pay

Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.