Eligibility Counselor I
- Location
- Weston, FL · On-site
- Job type
- Full-time
- Level
- Mid-level
- Experience
- 2+ years
- Education
- High school diploma or equivalent
- Listed
- Today
Skills & highlights for this role
- direct consumer interaction
- oral communication
- data entry
- computer skills
- analyzing government program criteria
- bilingual English and Spanish
Also useful
- Medicaid program experience
- telephone sales experience
About the role
This position services to assist low-income Medicare beneficiaries enrolled in a contracted Managed Care Organization Medicare+Choice health plan, with the qualification and recertification process for Medicare Savings Programs. The recertification team conducts telephonic outreach to remind, assist, and keep the members enrolled by either phone outreach and mailings. This outreach is performed before and around the members' recertification date.
Responsibilities
- Conducts telephonic outreach activities for members who need to recertify and are eligible for the Medicare Savings Programs. May also need to contact the state to properly complete the recertification process.
- Completes MSP renewal applications if needed for members. Also, insure that applications are completely filled out and every question is answered correctly before the member submits it to the state.
- Must conduct proper and effective follow up to ensure state renewal applications are sent to the state in a timely manner and Altegra Health documents are received to conduct further assistance.
- Meets daily, weekly, and monthly production goals. Must also meet quality standards by ensuring proper phone etiquette and adherence to scripts, make accurate and descriptive MMS documentation
- Participates as required in Altegra Health's staff and operational development programs. Acts as a team player and communicates openly and honestly.
- Maintains current knowledge of state and federal regulatory requirements to adhere to strict compliance of all aspects Altegra Health's Outreach Operations.
- Demonstrates behaviors, actions, and attitudes that reflect Altegra Health's vision, mission and values.
- Performs other duties as assigned.
Qualifications
- High School Education; Associates Degree or Bachelors Degree preferred.
- 2 years experience with direct consumer interaction, telephone sales experience, Medicaid program experience preferred.
- Demonstrated application of data entry and related computer skills.
- Excellent oral communication skills; ability to communicate with elderly individuals and state governmental personnel.
- Ability to analyze and interpret governmental program criteria; ability to interact and decipher information via telephonic or correspondence inquires.
Additional Information
We are located in Miami Lakes, FL now but in November we are moving to Weston, FL.
About the Company
Over 20 million individuals benefit from services that Altegra Health provides. When you join our team, you stand on the foundation of a successful organization that enriches an individual's life. We place a high value on qualities such as integrity, empathy, excellence and trust.
From Altegra Health's careers page, first listed on Rolev.ai on November 12, 2026. Rolev.ai is not the employer.
How Rolev.ai helps with this application
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Common questions
Where is the Eligibility Counselor I job at Altegra Health located?
This Eligibility Counselor I position at Altegra Health is located in Weston, FL (On-site). Always check Altegra Health's application page for specific state eligibility or relocation policies.
What qualifications are required for Eligibility Counselor I at Altegra Health?
For the Eligibility Counselor I role, Altegra Health highlights 2+ years of relevant experience; a high school diploma or equivalent; experience with direct consumer interaction, oral communication, data entry, computer skills, analyzing government program criteria, bilingual English and Spanish. Rolev.ai can score your existing resume against these requirements and show any skill gaps before you apply.
How do I apply for the Eligibility Counselor I position at Altegra Health?
This listing links directly to Altegra Health's SmartRecruiters application page. You can apply directly on Altegra Health's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the SmartRecruiters application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.