Medicaid Eligibility Specialist - Bilingual Spanish (Cincinnati)

About Us:  

Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com.  

About the Role:  

The Medicaid Eligibility Representative helps uninsured  patients explore potential Medicaid coverage by guiding them through the application process. This includes speaking with patients, gathering required information and documentation, submitting applications, and following up with state or county agencies.

This is a fast-paced, customer-facing position for someone who communicates clearly, stays organized, learns new systems quickly, and is comfortable assisting patients who may be navigating a difficult or unfamiliar situation. Previous Medicaid experience is helpful but not required. Comprehensive training will be provided. 

Key Responsibilities:  

• ​​Meet with patients in healthcare facilities or by phone to assess potential Medicaid eligibility and explain available assistance programs. 
• ​Collect, review, and verify information and documentation needed to complete Medicaid applications. 
• ​Submit applications and work with patients, hospital staff, and government agencies to support timely eligibility determinations. 
• ​Monitor cases, follow up on outstanding items, and help resolve issues that may impact application approval. 
• ​Accurately document patient interactions, case activity, and updates in company and client systems. 
• ​Maintain compliance with HIPAA, Medicaid guidelines, facility requirements, and company policies. 
• ​Work toward established quality, productivity, and performance goals while providing a positive patient experience.​ 

Required Qualifications:  

• Bilingual in Spanish with the ability to read, write, speak, and understand spoken Spanish proficiently
• High school diploma or equivalent. 
• At least 1 year of customer-facing experience in retail, hospitality, healthcare, banking, call center, or a similar service-oriented environment. 
• Strong verbal and written communication skills with the ability to build rapport and explain information clearly. 
• Ability to work effectively in a fast-paced environment while managing multiple priorities and deadlines. 
• Strong attention to detail and ability to accurately document information. 
• Comfortable using computers and learning new software applications and systems. 
• Demonstrated problem-solving skills and ability to follow written and verbal instructions. 
• Ability to maintain confidentiality and handle sensitive information professionally. 

Preferred Qualifications:  

• ​​Associate's degree or higher 
• ​Experience working in a performance-driven environment with established goals, productivity metrics, quality standards, or quotas. 
• ​Experience using Microsoft Office applications (Outlook, Excel, Teams, and Word) or similar business software, with the ability to quickly learn new technology platforms and systems. 
• ​Experience working in a hospital, physician practice, healthcare facility, or healthcare customer service environment. 
• ​Experience with Medicaid eligibility, public assistance programs, healthcare enrollment, patient access, or financial counseling. 
• ​Experience using EMR/EHR, case management, eligibility, claims management, or similar healthcare technology platforms such as Epic, Artiva, or related systems. 

  Employment eligibility:  

•  Candidates must be legally authorized to work in the United States at the time of hire 
• The company does not provide employment visa sponsorship for this position 
• As a condition of employment, a pre-employment background check will be conducted 
• At this time, we are unable to consider candidates residing in the state of New York for this position 
• Healthcare Facility Requirements: This position supports hospitals and healthcare facilities. Employment is contingent upon satisfying all client-specific onboarding, credentialing, health screening, vaccination verification, drug testing, tuberculosis testing, security, and facility access requirements applicable to the assigned location. Requirements vary by client. 

What We Offer:  

• Comprehensive paid training  
• Medical, dental, and vision insurance  
• HSA and FSA available  
• 401(k) with company match  
• Paid Wellness Time and Holidays  
• Employer paid life insurance and long-term disability  
• Internal growth opportunities  

Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.  

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.  

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