Unknown Company

Eligibility Admin

merced, ca • Posted 2 days ago
Onsite Contract Insurance

We are looking for an organized Eligibility Admin to support application processing and case review activities in Merced, California. This Long-term Contract position is ideal for someone who can balance accuracy, professionalism, and timely follow-through while working with sensitive information. The person in this role will help evaluate applicant records, maintain reliable documentation, and provide clear communication throughout the eligibility process.Responsibilities:• Examine applications and supporting records to confirm all required information has been submitted and documented correctly.• Assess applicant status against established program rules, policies, and regulatory standards to determine eligibility outcomes.• Confirm details such as income, residency, employment, insurance, and other qualifying criteria using available documentation and verification methods.• Enter new case information and maintain accurate updates within internal databases and case management tools.• Notify applicants of approvals, denials, or pending items and clearly explain next steps or additional documentation needed.• Safeguard confidential files and handle records in accordance with privacy and compliance requirements.• Coordinate with internal teams, external agencies, providers, and case workers to obtain information and support case resolution.• Track renewals, recertifications, and processing deadlines to help ensure timely case follow-up.• Investigate inconsistencies in submitted information and respond to applicant questions with professionalism and prompt attention.

Eligibility Admin in merced at Unknown Company

This position is listed as contract and onsite.

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