Remote Bilingual Medicare & Medicaid Eligibility Advocate

Your Daily Mission (What You’ll Do)

AtCentauri Health Solutions, wedon’tjust process applications; we serve as a lifeline. For many Medicare members, a single phone call with ourteamcan meanpotentiallysavingon Medicare Premiums. We are looking for empathetic, driven individuals to join us as Medicare/Medicaid Eligibility Specialists (MMES). If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here.

You will be the voice of support and a trusted guide for members navigating the often-confusing world of government benefits.

• Compassionate Conversations:
  
  Make and receive calls with members needing to apply for orobtain orretain
  
  Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).
• The "Human Translator":
  
  Determine if individuals are eligible for Medicaid or LIS benefits through a series of simple questions.
  
  When needed, explain complex regulations and eligibility requirements in simple, warm, and patient terms.
• Application Mastery:
  
  Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification.
• Regulatory Standards:
  
  Maintain strict adherence to HIPAA, state regulations, and company compliance standards.
• Database Navigation:
  
  Simultaneously manage multiple software systems and databases to track member progress and documentation.
• Schedule will be Monday to Friday, 11am to 7:30pm EST (9am to 5:30pm MST)

The Ideal Advocate (Who You Are)

You are the person friends and family turn to when they need help with something complicated.

• Fluent in Spanish (speak, read, write)
• Experience:
  
  2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.
• Subject Matter Interest:
  
  Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus.
• Tech-Savvy:
  You are comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing,maintaininga warmconversationand documenting information in real time.
• Patience:
  
  Youremaincalm and professional, when faced with obstacles you see these moments as opportunities to build trust.
• Critical Thinker:
  
  You can manage difficult conversations and use probing questions to clarify information and find solutions.

The Reality of the Role (Transparency Matters)

To thrive in this position, you should enjoy a structured, performance-driven environment.

• High-Volume Engagement:
  
  This is a phone-based role. You will spend your day making and receiving calls.
• Scripted Excellence:
  
  To ensure total compliance, you will work within well-defined procedures. Your creativity comes from your tone and empathy while following the process.
• Goal-Oriented:
  
  You will be expected to meet daily and weekly production and quality goals.
  
  Efficiency allows us to help more people.
• Bonus:
  You will be eligible to receive bonus payments for exceptional performance.