Operations

Eligibility Specialist 250506 (Remote)

Preferable Location(s): Isabela, Puerto Rico
Work Type: Full Time

About Capitol Bridge  
Founded in 2012, Capitol Bridge is based in Arlington, Virginia and has proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing and eligibility reviews.  

Capitol Bridge Inc is seeking a highly skilled and detail-oriented Eligibility Specialist to join our team. The specialist will be responsible for reviewing applications, assessing eligibility and providing accurate and detailed reports.  The ideal candidate has a strong understanding of Microsoft systems, excellent analytical skills, and a keen eye for detail. 

This position is contingent upon project award and contract approval.

Location: Remote (Within commuting distance of Isabella PR) 

Benefits: 
Medical, Dental, and Vision benefits available 
401(k) available with company match 
Paid holidays 
Paid Vacation Time  

Job Responsibilities:  

- Evaluating applications and supporting documentation to assess eligibility for programs or benefits.
- Identifying missing or incomplete information and requesting needed information.
- Reviewing all documentation for completeness and accuracy.
- Verifying the accuracy of information provided by applicants. 
- Maintaining accurate and organized records of client information and application files. 
- Render defaults and dismissing disputes that are not eligible.  
- Preparing reports and summaries as required by the program or agency. 
- Staying informed about changes in program rules, policies, and guidelines.
- Participating in training and continuing education to maintain relevant knowledge. 

Qualifications & Experience: 

- High school diploma or equivalent required, 1+ years in case management and customer service preferred
- Excellent organizational skills required.  
- Attention to detail and the ability to maintain accuracy are required.  
- Ability to multi-task, be flexible, and work in a fast-paced environment.  
- Excellent interpersonal skills, writing, and verbal communication skills.  
- Must be able to handle confidential information and materials in an appropriate manner.  
- Strong Microsoft Office proficiency in Excel, Outlook, and SharePoint required.  
- Strong problem-solving skills are required.  
- Adheres to ethical business standards and practices.  
- Comply with program security requirements.  

Reasonable Accommodation  
If you require alternative methods of application or screening, you must approach the employer directly to request this. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.  

EEO Statement  
Capitol Bridge, Inc. is an Equal Opportunity Employer. All employment decisions at Capitol Bridge are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.  

Texting Notice  
We communicate with applicants by text in addition to email and phone. If you apply for this position, we may text you about this position, your application for the position, or other things relevant to this job position. If we text you and you no longer want us to text you, you can opt-out at that time.  


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