All roles

Eligibility Specialist- Texas Medicaid

Remote · USA Full-time New today

Job Title: Eligibility Specialist Location: Remote (Preference for candidates near Austin, TX) Type: 3 month contract/ potential for extension Compensation: $20/hour Benefits: This position is eligible for medical, dental, and vision benefits, along with additional Addison Group contractor benefits Industry: Healthcare / Social Services Work Schedule: Monday–Friday, 8:00 AM – 5:00 PM CST About Our Client: Addison Group is partnering with a large, mission-driven healthcare organization to hire an Eligibility Specialist. This organization supports individuals with a wide range of care needs and is currently expanding its operations, creating new opportunities within the team. Job Description: The Eligibility Specialist will play a key role in verifying and managing patient eligibility, with a focus on Medicaid programs. This position requires someone who is detail-oriented, proactive, and comfortable navigating systems while advocating for timely approvals. Key Responsibilities:

  • Review and confirm patient eligibility for state-funded healthcare programs, including Texas Medicaid
  • Utilize online portals (such as TMHP) to verify coverage and submit or track eligibility-related requests
  • Communicate with internal teams and external agencies to resolve eligibility issues and ensure timely processing
  • Maintain accurate and up-to-date records within internal systems
  • Proactively follow up on outstanding items and escalate when necessary to avoid delays

Qualifications:

  • High school diploma or GED required; associate degree preferred
  • Prior experience working with Texas Medicaid programs strongly preferred
  • Familiarity with TMHP portal and HCS program is a plus
  • Comfortable working in a fast-paced environment and handling follow-ups assertively
  • Strong organizational and communication skills
  • Experience with Social Security processes is a plus

Perks:

  • Opportunity to join a stable and growing organization
  • Work with a team focused on meaningful, community-based impact
  • Remote flexibility with preference for local candidates
  • Potential for long-term or permanent placement

Additional Details: Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request. Apply tot his job Apply To this Job

Related roles

Paralegal / Intake Specialist - ERTC

Remote · USA Full-time

CLIENT INTAKE SPECIALIST

Remote · USA Full-time

Patient Intake Coordinator

Remote · USA Full-time

Team Lead , Credentialing

Remote · USA Full-time

Medical Staff Credentialing Assistant (Intake)-Medical Staff Services - Corporate - Full time Days - Remote

Remote · USA Full-time

Sr. Specialist, Credentialing

Remote · USA Full-time

Mgr, Prov Cert & Credentialing

Remote · USA Full-time

Career Opportunities: Insurance Verification Specialist (60813)

Remote · USA Full-time

Insurance Credentialing Specialist Needed for Mental Health Private Practice (CA, WA, IA & VT)

Remote · USA Full-time

Contracting, Credentialing & Billing Specialist (Remote)

Remote · USA Full-time

Area Sales Representative

Remote · USA Full-time

Airport Ramp Agent & Customer Service Specialist – Ground Operations & Passenger Services at arenaflex (Killeen, TX)

Remote · USA Full-time

Experienced Data Entry Operator - Entry Level (Remote) at arenaflex

Remote · USA Full-time

Entertainment Email Writer (Freelance, Remote)

Remote · USA Full-time

Experienced Specialty Pharmacy Technician - Data Entry Transplant at arenaflex

Remote · USA Full-time

Hotel Regional Director of Sales - Remote (USA)

Remote · USA Full-time

Experienced Sr. Manager, Global Training Delivery Management for arenaflex Customer Service

Remote · USA Full-time

Work From Home - Accounts Payable

Remote · USA Full-time

Job Title: Live Chat Customer Service Representative | Remote Work from Home | Flexible Full-Time & Part-Time Opportunities | E-Commerce Customer Support Specialist

Remote · USA Full-time

Assistant Project Engineer (Civil Engineer, Assistant)

Remote · USA Full-time