Remote Medicare & Medicaid Eligibility Specialist (Advocate)

Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care.<br><br>Headquartered in Phoenix, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications.<br><br>Centauri Health Solutions | 100% Remote | Training and Equipment Provided<br><br>What if your job was more than a job? What if it was a daily mission to bring clarity, compassion, and critical financial relief to those who need it most? <br><br>At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicare members, a single phone call with our team can mean potentially saving on 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. <br><br><strong>Your Daily Mission (What You’ll Do)</strong> <br><br>You will be the voice of support and a trusted guide for members navigating the often-confusing world of government benefits.<br><br> <br><br><ul><li>Compassionate Conversations: Make and receive calls with members needing to apply for or obtain or retain Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).  </li><li>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.  </li><li>Application Mastery: Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification. </li><li>Regulatory Standards: Maintain strict adherence to HIPAA, state regulations, and company compliance standards. </li><li>Database Navigation: Simultaneously manage multiple software systems and databases to track member progress and documentation.  <br><br></li></ul><strong>The Ideal Advocate (Who You Are)<br><br></strong>You are the person friends and family turn to when they need help with something complicated.<br><br><ul><li>Experience: 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.  </li><li>Subject Matter Interest: Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus.  </li><li>Tech-Savvy: You are comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing, maintaining a warm conversation and documenting information in real time.  </li><li>Patience: You remain calm and professional, when faced with obstacles you see these moments as opportunities to build trust.  </li><li>Critical Thinker: You can manage difficult conversations and use probing questions to clarify information and find solutions. <br><br></li></ul><strong>The Reality of the Role (Transparency Matters)<br><br></strong>To thrive in this position, you should enjoy a structured, performance-driven environment.<br><br><ul><li>High-Volume Engagement: This is a phone-based role. You will spend your day making and receiving calls. </li><li>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. </li><li>Goal-Oriented: You will be expected to meet daily and weekly production and quality goals. Efficiency allows us to help more people. </li><li>Bonus: You will be eligible to receive bonus payments for exceptional performance. <br><br></li></ul><strong>Why You’ll Love Centauri (Our Promise to You)<br><br></strong>We believe that to take care of our members, we must first take care of our team.<br><br><ul><li>100% Remote: Enjoy the flexibility of working from your dedicated home office. </li><li>Paid Training: A comprehensive program to make you an expert in systems and compliance. </li><li>Mission-Driven Work: Experience the direct, positive impact of your work every day. </li><li>Supportive Culture: Ongoing one-on-one coaching, team huddles, and a collaborative spirit. </li><li>Career Growth: Opportunities for advancement within a rapidly growing healthcare leader. <br><br></li></ul>We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. Centauri provides training and the computer equipment needed for this role. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan. Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate. Centauri Health Solutions is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...