Eligibility Specialist

Job Description

Job Description

Care with Heart. Work with Purpose.  

Join  The Senior Community Care of North Carolina PACE as a  Eligibility Specialist   in  Durham, NC.  This is more than a job! It’s a paid opportunity to serve others, live our mission, and make a meaningful impact in a healthcare setting. As a compassionate organization, we’re dedicated to serving others and fostering an environment where both our residents and team members thrive. If you’re ready to grow your career while making a difference, we’d love to connect with you.

Senior Community Care of North Carolina PACE is a community of Volunteers of America National Services, a subsidiary of the Volunteers of America parent organization.  Proudly Great Place to Work® Certified for 8 consecutive years .

Schedule: Monday-Friday 8:00 AM-5:00 PM

Pay: $50,000-$58,000

Why You’ll Love It Here

• Supportive, caring leadership that truly values your voice
• A positive, team-oriented environment where you can rely on one another
• A beautiful, welcoming campus you’ll enjoy coming to each day
• Opportunities for career growth and ongoing development
• Purpose-driven work that makes a meaningful difference every day

What We Offer

• Medical, Dental & Vision Insurance
• 403(b) with discretionary contribution
• Paid Time Off + Personal Days
• Life Insurance & Short-Term Disability
• Employee Assistance Program
• Wellness incentives (earn up to $350)
• Get paid early (access up to 50% of earnings)
• Referral bonuses & scholarship opportunities

What You Bring (Requirements)

• Bachelor's Degree in a health and human services field or equivalent four (4) years of experience related to public benefits
• Two (2) years of experience in case work for public assistance programs or in an information and referral resource role within senior services
• Must be familiar with benefits available to older adults. Shall have either training or related experience in the job assigned.
• Have a minimum of one year of experience in working with the frail or elderly population.

What You’ll Be Responsible For:

• In collaboration with Enrollment Specialist, gather necessary documentation and application requirements in working with participants for Medicaid approval.
• Ensures compliance with all State Medicaid Rules and Regulations that pertain to Long Term Care Medicaid. Assists participants with applications to Supplemental Nutrition Assistance Program (SNAP), and other state specific Medicaid or public assistance programs for which participants may be eligible.
• Tracking private pay and Medicare-only clients and instrumental in obtaining a smooth transition to Medicaid eligibility. Ensures appropriate forms are completed and participant understanding of financial responsibility when not eligible for Medicare or Medicaid.
• Works with Health Plan Operations Team and Executive Director to ensure A/R Aging report is tracked and monitored, and outstanding debts are collected
  Senior Community Care of North Carolina PACE provides healthcare and supportive services for individuals age 55 and older, helping them live safely, comfortably, and independently in their own homes and communities. As a Program of All-Inclusive Care for the Elderly (PACE) provider, our interdisciplinary teams deliver personalized, comprehensive care tailored to each participant’s needs.   Situated in Durham, this location blends Southern charm with a growing, innovative community. With access to green spaces, a lively downtown, and part of the renowned Research Triangle alongside Raleigh and Chapel Hill, the area offers a dynamic and well-rounded lifestyle.

At VOANS, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.