Eligibility Specialist – Medicaid Eligibility – UNC Health Care



Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Performs technical work in obtaining Medicaid/Social Security (SSI) insurance coverage for indigent patients to expedite reimbursement for medical services. Will take the patient through the entire Medicaid application process from application to award or denial. Will have authority to represent the Health Care System at each of the four levels of appeals when applications are denied.

***This position qualifies for a $5,000 commitment incentive, paid over a three (3) year commitment. Payment of $1,500 will be made within the first thirty (30) days of employment. The remaining will be paid after each six (6) month period of work completed. Learn more here:https://jobs.unchealthcare.org/pages/revenue-cycle-commitment-incentive-program***

1. Obtains detailed personal, financial and asset information to determine if patient qualifies for one of ten Medicaid/SSI programs. Completes or assists the patient with completion of Medicaid application. Explains the programs and advises patients of methods to become eligible by rearranging finances and assets. Follows through with applicants to obtain accurate and complete information within strict timeframes. Positions must have substantive knowledge of various rules and regulations governing the ten Medicaid programs. Interprets and applies frequent changes in program regulations to expedite applications.
2. Reviews denials from Medicaid/SSI and researches denial information with patients. Advocates for patient coverage with local and state Medicaid offices to obtain reversal of initial denial. Abstracts information, prepares appeals and represents UNC Health Care System in appeal hearings at local, state (Division of Medical Assistance), Office of Administrative Hearings, and state court to present supportive evidence for patients denial reversal

Other Information

Education Requirements:
● Associate’s degree in an appropriate discipline (or equivalent combination of education, training and experience).
Professional Experience Requirements:
● If an Associate’s degree: Two (2) years of experience in a social services or healthcare organization.
● If a High School diploma or GED: Four (4) years of experience in a social services or healthcare organization.


Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Medicaid Eligibility 

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Raleigh

Exempt From Overtime: Exempt: No



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