Program Administration Eligibility Specialist

Sevita • Austin, TX

22h • Hybrid

About The Position

This is an office-based role located at 8911 N. Capital of Texas Hwy. with potential for remote work following the initial period. The Program Administration Eligibility Specialist monitors upcoming financial eligibility renewal dates weekly, enters individual financial eligibility data into systems, maintains client eligibility files, and assembles and submits applications or appeals when Sevita is the representative payee. This role also involves researching complex eligibility issues, communicating with external partners, alerting program staff of potential blockers, reviewing AR Aging for eligibility-related billing issues, and supporting field teams as a subject matter expert. Other related duties and activities may be required.

Requirements

• High school diploma or GED required.

Nice To Haves

• Government relations and health and human services experience preferred.

Responsibilities

• Monitors upcoming financial eligibility renewal dates weekly via state portal, available reporting (internal or external), and/or paper mail, and communicates with program staff regarding individuals whose eligibility is about to expire.
• Enters individual financial eligibility data into systems weekly to support accurate reporting and timely billing of services provided by local staff.
• Maintains files with eligibility information by client.
• Where Sevita is representative payee, assembles, completes, and submits applications, appeals, or other forms related to financial eligibility, partnering with field and functional teams as needed for supporting documentation.
• Researches complex eligibility issues via payer websites or by phone, and communicates directly with state, payer, or other external partners as needed to resolve outstanding issues.
• Communicates with program staff to alert field or functional teams of potential blockers, escalations, or delays preventing timely financial eligibility processing.
• Reviews AR Aging and collaborates with AR team members, functional partners, or local office staff on eligibility-related billing issues; prepares supporting documentation for eligibility-related sales adjustments (e.g., gaps in coverage).
• Where Sevita is not representative payee, supports field teams with escalation questions as a subject matter expert on state expectations and timing.
• Performs other related duties and activities as required.

Benefits

• Full compensation and benefits package for employees working 32+ hours/week.
• 401(k) with 3% company match.
• Paid time off and holiday pay.
• Opportunity to contribute to meaningful work supporting our organization’s mission alongside a dedicated team.
• Nationwide career development and advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED