Remote Medicare & Medicaid Eligibility Specialist (Advocate)

Your Daily Mission

At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicare members, a single phone call with our team can mean potentially saving on Medicare Premiums. We are looking for empathetic, driven individuals to join us as Medicare/Medicaid Eligibility Specialists (MMES).

• 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 if individuals are eligible for Medicaid or LIS benefits through a series of simple questions.
• When needed, 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.

The Ideal Advocate

• You are the person friends and family turn to when they need help with something complicated.
• Experience: 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.
• Subject Matter Interest: Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus.
• Tech-Savvy: You are comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing, maintaining a warm conversation and documenting information in real time.
• Patience: You remain calm and professional, when faced with obstacles you see these moments as opportunities to build trust.
• Critical Thinker: You can manage difficult conversations and use probing questions to clarify information and find solutions.

The Reality of the Role

• To thrive in this position, you should enjoy a structured, performance-driven environment.
• High-Volume Engagement: This is a phone-based role. You will spend your day making and receiving calls.
• Scripted Excellence: To ensure total compliance, you will work within well-defined procedures.
• Goal-Oriented: You will be expected to meet daily and weekly production and quality goals. Efficiency allows us to help more people.
• Bonus: You will be eligible to receive bonus payments for exceptional performance.

Why You’ll Love Centauri

• We believe that caring for our members starts with caring for our team, and we are committed to providing a rewarding environment where employees can grow, excel, and achieve both personal and professional goals.
• 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.
• 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.

Compensation Transparency

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