NEOGOV · 3 months ago
INTERNAL Eligibility Coordinator I (Non-MAGI) (Escalations Coordinator I) / TG61100326RP
Statewide, SC
Full-time
Onsite
Entry Level
$37K/yr - $44K/yr
2+ years expNEOGOV is seeking an Eligibility Coordinator I (Non-MAGI) who will be part of the Escalations Team within the Department of Health and Human Services. The role involves assisting in eligibility determinations, providing training to team members, and ensuring compliance with Medicaid regulations.
GovTechHuman ResourcesInformation TechnologySoftware
No H1B
Responsibilities
Supports the supervisors of the Escalation Team and the Escalation Specialists. Providing direct onsite and team training to the team. Implements agency-standard workflow processes and procedures. Provides guidance to team members and agency managers on the effectiveness of agency policies, procedures, and processes
Performs accurate and timely eligibility determinations for NM cases. Upon review and analysis of all available data, worker will request needed verifications, or complete the budget, make the determination, and update all systems as appropriate while maintaining accurate and precise documentation
Provides technical assistance to Medicaid Eligibility Specialists and aids in the resolution of common questions, concerns, and escalations received by Medicaid Eligibility Specialists. Accurately addresses or routes questions and escalations to the appropriate resource including team leads, training staff, or help desk professionals, among others. Periodically spot-checks worker performance with respect to attendance, productivity, completeness of application workbooks, and accuracy of determinations
Conducts a thorough assessment of the entire application upon receiving. Identifies all documents needed based on applicant's information and background. Conducts collateral calls and develops a comprehensive checklist for all verifications needed along with specific details and explanations if needed. Completes disability packets and income trust packets as necessary. Completes income verifications, bank and life insurance release forms, burial exclusion forms, level of care forms, intent to return home, and other related documents as needed. Research interfaces, public records, and third-party sources. Worker will assist client in obtaining needed verification if necessary
Attends meetings and training sessions as required. Makes and keeps schedules, completes tasks timely and reports to work timely. Assists eligibility management and senior leadership with projects as assigned. Performs related duties as assigned or required. Performs and coordinates preparedness/shelter duty activities as assigned
Qualification
Required
A high school diploma and relevant program experience
A bachelor's degree may be substituted for the required program experience
Sitting or standing for long periods of time
Overtime and/or weekend work with Deputy approval
Occasional overnight travel
Requires holder to drive routinely
Valid driver's license
Lifting requirements: 20 lbs
Preferred
At least two (2) years of working in Medicaid Non-MAGI related programs
Extensive knowledge of the Medicaid Program, human services programs, or eligibility processing preferred
Supervisory and management experience preferred
Higher skillset to analyze and interpret broad health and human escalated service case and provider issues and their impact on the Department's programs
Extensive knowledge of laws, regulations, policies and procedures relevant to the area of employment
Ability to exercise judgment and discretion
Ability to establish and maintain effective working relationships with internal and external stakeholders
Ability to effectively manage time and prioritize escalated tasks and departmental and agency projects with competing and/or shifting deadlines
Ability to communicate and collaborate with team members and external stakeholders from different levels of hierarchy
Requires Emergency Preparedness Shelter Duties
Benefits
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
13 paid holidays.
State Retirement Plan and Deferred Compensation Programs.
Health insurance; retirement and savings plan options; and paid vacation and sick leave.
Tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
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