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Medicaid Eligibility Specialist - (Washington, PA) in Washington, PA at Alltran

Date Posted: 1/3/2019

Job Snapshot

Job Description

The Medicaid Eligibility Specialist will work with our on-site hospital rep to complete screenings of uninsured patients for potential program eligibility for Medicaid and other available funding sources. This includes completion of SSI/SSDI applications. This individual will assist the patient in gathering additional documentation. The Eligibility Specialist will coordinate working with local Department of Human Services offices in an effort to determine program eligibility.

Essential Duties and Responsibilities:

  • Conduct financial fact-finding interviews with patients who are seeking Medicaid benefits. 
  • Complete Medicaid and other applicable applications/releases.
  • Monitor all applicants who are eligible for Medicaid or other financial assistance or coverage plans, as required.
  • Enter clear and concise notes in the required patient accounting systems.
  • Ensure all supporting documents, including applications and receipts, are obtained and filed timely.
  • Successfully help coordinate and manage the portfolio of Medicaid applicants.
  • Adhere to all relevant regulations related to our involvement with Federal, State and local government programs as well as Alltran and our clients’ compliance programs.

Job Requirements

Minimum Qualifications Required:

  • Customer Service, Social Services or Hospital setting experience
  • Customer Service skills
  • Computer proficiency
  • Working knowledge and understanding of the Medicaid application process
  • Experience working in a hospital environment
  • Strong verbal and written communication skills
  • Dependable transportation to do field work (when required)
  • High school diploma or equivalent


This position description is not intended, and should not be construed, to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to be an accurate reflection of those principle job elements essential to the job.

Alltran provides Equal Employment Opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or genetics.


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