Outpatient Medicaid Eligibility Representative

Start Date: 3/30/2026

Pay: $13.50-$14.50 an hour based on experience plus monthly bonus up to $300 after 90 days

Hours: Monday - Friday 8:00am – 4:30pm (With a half hour lunch) and 2 company paid 15 min breaks

*This position is remote upon completion of 4 weeks of training on site in Cleveland office! *

**You MUST have internet speed of 100MBps**

Who is Hospital Referral Services?
No one wakes up in the morning and says, "Today I want to go to the hospital". We are here to help when the unexpected happens. Hospital Referral Services Hospital Insurance Representative will help patients via phone to see what assistance programs the uninsured or underinsured may be eligible to receive.

We are looking for self-motivated professional to add to our growing team. If helping people is something you enjoy, this may be the right job for you.

HRS's team of experts helps guide patients through the Medicaid process so the patient can focus on recovery.

Our employees voted us Top Workplaces 4 years in a row!

The Outpatient Medicaid Eligibility Representative will be responsible for:

• Screening/Interviewing patients for insurance eligibility in outbound dialer environment
• Providing thorough, efficient, and accurate documentation.
• The Outpatient Medicaid Eligibility Representative is responsible for meeting goals and quality standards through efficient and accurate work activities.

PM21

Work Requirements:

• 1-3 years Dialer call center environment preferred – not required (minimum of 60 calls daily)
• 1-3 years of previous healthcare eligibility experience preferred-not required
• Ability to maintain the highest level of confidentiality, customer service, and knowledge of HIPAA.
• Proficient personal computer skills including Microsoft Office – able to type at least 40 WPM
• The Outpatient Medicaid Eligibility Screener must have the ability to multi-task and have good time management skills.
• High School Diploma or equivalent (GED)
• 7-year background check

Training for the Outpatient Medicaid Eligibility Representative:

• In office training will include HIPAA regulations, Revenue Group procedures, Medicaid eligibility, role-playing, client systems and procedures.
• In office floor training: This will include observation of veteran representatives and supervised calls.

Our Benefits:

• 100% Paid Training
• 401(k) matching
• Paid Time off (PTO) – Up to 10 days your first year!
• 8 Paid Holidays – Including your birthday!
• Referral Program
• Employee Assistance Program (EAP)
• Growth & Continued Training
• Dental & Vision insurance
• Health insurance (including Long & Short-Term Disability)
• Life insurance (Company Paid)

EEO Statement:
We are an Equal Employment Employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state/province, or local laws.

PM21

Compensation details: 13.5-14.5 Hourly Wage

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