Counselor-Enroll/Elig

Job Responsibilities: Process specialized and complex Medicaid eligibility and enrollment casesAssist clients with program connection and eligibility-related inquiriesResearch and work on appeals as assigned by supervisorsApply eligibility policies, procedures, and processes accurately and consistentlyServe as a subject matter resource (SME) on eligibility policies and processes for the teamUnderstand and communicate the impact of eligibility processes on other teams and workflowsWork closely with management and work groups to create and maintain work plan documentsTrack project status, deadlines, deliverables, and due datesCollaborate with project managers on various initiatives and projectsProvide administrative and operational support for assigned projectsAssist with tracking project progress and identifying outstanding itemsSupport the training team during the final week of sandbox trainingAnswer questions and provide guidance to new trainees as they transition to their assigned teamsMaintain accurate records and documentation related to cases, projects, and eligibility activitiesFollow established Medicaid policies, procedures, quality standards, and workflowsCommunicate effectively with clients, team members, supervisors, trainers, and managementMaintain confidentiality and protect sensitive client informationMeet established productivity, quality, attendance, and performance expectationsSkills: Strong understanding of customer service and client support principlesBasic computer navigation skillsNovice-level knowledge of Microsoft Office applicationsAbility to research and process complex cases with attention to detailAbility to understand and apply policies, procedures, and eligibility requirementsStrong organizational and time-management skillsAbility to track multiple projects, deadlines, and prioritiesStrong written and verbal communication skillsAbility to work independently and collaboratively in a remote environmentAbility to learn and apply Medicaid eligibility and enrollment processesStrong problem-solving and critical-thinking abilitiesAbility to work effectively with management, project teams, trainers, and colleaguesBilingual English/Spanish proficiency preferred/required for bilingual positionsAbility to maintain consistent attendance throughout training and nesting periodsAbility to work full-time, 40 hours per weekEducation/Experience: High school diploma or GED required, with proof of completion4+ years of relevant professional experience required, or an equivalent combination of education and experienceAssociate degree with 2+ years of relevant experience preferredPrevious experience in eligibility, enrollment, healthcare, Medicaid, customer service, case processing, or a related field preferredMust be legally able to work remotely from within the state of VirginiaMust have reliable traditional wired home internet service; cellular-based internet providers are not permittedMinimum internet speed of 25 Mbps download for a single user, 50 Mbps for shared connectivity, and 5 Mbps upload required; 10 Mbps upload preferredMust connect the work computer to the internet router using a Category 5 or Category 6 Ethernet cableMust be able to provide a screenshot of an internet speed test from Speedtest.net or Google Speedtest upon requestMust have access to a laptop or computer capable of attending video interviewsMust be available for the Real Job Preview (RJP), tentatively scheduled for September 23, 2026 and September 30, 2026; exact times to be confirmedMust attend RJP sessions on cameraMust be available for training Monday–Friday, 8:00 AM–4:30 PM EST100% attendance is expected during training and nestingNo planned time off, late arrivals, or early departures are expected during the training periodMust be available to work Monday–Friday, 8:0 AM–5:00 PM EST, with potential overtime hours typically between 7:00 AM and 6:00 PM ESTMust successfully complete the required background check through Orange Tree, including criminal screening, before startingClient-provided equipment will be supplied for the remote positionMust be able to work effectively in a remote contact-center environmentBilingual candidates must demonstrate proficiency in English and Spanish for bilingual positionsJ-18808-Ljbffr