Eligibility Specialist

Community Assistor Medicaid/Eligibility Specialist

Russell Tobin's client, a health insurance company, is hiring eligibility specialists in Phoenix, AZ.

Location: Phoenix, AZ (remote)

Pay Rate: $19 - 20.85/hr.

FLSA Status: Exempt / Nonexempt

Schedule: Full-time (40+ hours per week; evenings and weekends as needed)

Job Type: Contract

We are seeking a community assistor (eligibility specialist) to support Medicaid members through application renewals, outreach, and enrollment activities. This role focuses on ensuring a positive member experience, assisting with eligibility processes, and strengthening relationships with community partners.

Level 1 Eligibility Specialist (Grade 9)

• Conducts HEAplus application renewals with current members during interactive interviews, supporting member retention efforts.

Level 2 Senior Eligibility Specialist (Grade 10)

• Leads and assists in planning, developing, and organizing community outreach events and activities that drive enrollment and engagement.

Key Responsibilities

• Conduct HEAplus application renewals and assist members in completing required forms and documentation.
• Uphold member care standards and maintain confidentiality of personal information.
• Build and foster relationships with community organizations and referral sources.
• Represent company Medicaid programs at community events and outreach initiatives.
• Communicate complex processes in a clear, step-by-step manner for members.
• Maintain professional relationships with internal and external partners.
• Submit required reports and summaries on processed applications.
• Maintain a secure, private workspace for handling member information.
• Perform additional duties as assigned.

Qualifications

Required

• Experience (Level 1):
• 1 year of telephonic customer service experience
• 1 year of experience in outreach, marketing, or community relations
• Experience (Level 2):
• 1 year of telephonic customer service experience
• 3 years of experience in outreach, marketing, or health plan services
• Education:
• High School Diploma or GED
• Licenses:
• Valid Arizona Driver's License with an acceptable driving record

Preferred

• Experience with AHCCCS/Medicaid, CHIP, health promotion, social services, or related fields
• Bilingual in English and Spanish

Skills & Competencies

• Strong customer service and communication skills (verbal and written)
• Ability to multitask and manage time effectively in a fast-paced environment
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
• Strong interpersonal, organizational, and presentation skills
• Ability to work independently while meeting deadlines and performance goals
• Understanding of Medicaid and Medicare regulations and guidelines
• Comfortable working evenings and weekends as needed
• Ability to lift up to 25 pounds

Work Environment

This is a full-time position requiring at least 40 hours per week, plus additional hours as needed.

A dedicated, private work area is required to ensure confidentiality of sensitive member information.

Benefits that Russell Tobin offers:

Russell Tobin offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.