Remote Medicare & Medicaid Eligibility Specialist (Advocate)

Your Daily Mission (What You’ll Do)  

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). If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here.  You will be the voice of support and a trusted guide for members navigating the often-confusing world of government benefits. 

• Compassionate Conversations: Make and receive calls with members needing to apply for or obtain or retain Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).  
• The "Human Translator": 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.  
• Application Mastery: Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification. 
• Regulatory Standards: Maintain strict adherence to HIPAA, state regulations, and company compliance standards. 
• Database Navigation: Simultaneously manage multiple software systems and databases to track member progress and documentation.  
• Schedule will be Monday to Friday, 11am to 7:30pm EST (9am to 5:30pm MST) 

The Ideal Advocate (Who You Are)

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 (Transparency Matters) 

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. Your creativity comes from your tone and empathy while following the process. 
• 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.