Medicaid Verification Specialist

Job Location US-TX-San Antonio
Posted Date 3 weeks ago(1/30/2018 4:58 PM)
San Antonio Regional Office
Shift Type

Position Overview

The Eligibility Specialist is responsible for assisting hospital patients with the completion of the application process for Medicaid.  The Eligibility Specialist not only acts as an advocate for the patient, but also serves as a liaison to other Team members and to client hospital in a collaborative effort to facilitate eligibility coverage for incurred medical expenses. 

Essential Job Functions

  • Interviews clients or authorized representative to gather information while determining eligibility for benefits.
  • Obtains, verifies, and calculates income and resources to determine client's financial eligibility.
  • Assists patients in completion of program applications and other paperwork.
  • Accurately inputs and updates data and/or coverages in the eligibility determination system and the hospital computer system when changes occur and cross trains in all areas of eligibility.
  • Verifies, updates, and enter third party insurance plans into Eligibility and Hospital computer system.
  • Obtains and scans all necessary demographic and financial information required to properly determine potential program eligibility.
  • Maintains a minimal error rate and maintains productivity levels as determined by established standards and guidelines.
  • Performs other related job duties as assigned.
  • Provides superior customer service and maintains a professional image

Other Job Functions


Typical functions of this role include standing, sitting and walking a majority of the time. There are occasions when kneeling, stooping, bending or reaching may be necessary.


The employee must be able to lift and/or move up to 10 lbs on a regular basis. There may be occasions in which the employee must be able to lift or move up to 40 lbs.


Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.


The noise level in the work environment is usually mild to moderate.


Basic Qualifications

  • High School Diploma or GED, required
  • 1 plus years of experience with Federal and State financial assistance programs and third party coverage.
  • Knowledge of Microsoft Office Tools (Microsoft Word, Excel and Outlook), required
  • Position requires fluency in English; written and oral communication




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