Program Administration Eligibility Specialist

Sevita • Austin, TX

3d • Hybrid

About The Position

The Program Administration Eligibility Specialist monitors and processes individuals’ financial eligibility to support accurate reporting and timely billing of services provided by local staff. The position is based at an office at 8911 N. Capital of Texas Hwy. in Austin, Texas, with potential for remote work after the initial period. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., at an hourly rate of $22.

The specialist works with program staff, field and functional teams, accounts receivable team members, local office staff, state and payer representatives, and other external partners to address eligibility-related matters. Duties also include maintaining client eligibility files, researching complex issues, supporting applications and appeals when Sevita is representative payee, and helping resolve eligibility-related billing issues.

Requirements

• High school diploma or GED required.

Nice To Haves

• Government relations experience preferred.
• Health and human services experience preferred.

Responsibilities

• Monitor upcoming financial eligibility renewal dates weekly using the state portal, available internal or external reporting, and/or paper mail, and communicate with program staff about individuals whose eligibility is nearing expiration.
• Enter individual financial eligibility data into systems weekly to support accurate reporting and timely billing of services provided by local staff.
• Maintain files containing eligibility information by client.
• When Sevita is the representative payee, assemble, complete, and submit applications, appeals, or other forms related to financial eligibility, partnering with field and functional teams to obtain supporting documentation as needed.
• Research complex eligibility issues through payer websites or by phone, and communicate with state, payer, or other external partners as needed to resolve outstanding issues.
• Alert program staff and field or functional teams to potential blockers, escalations, or delays that may prevent timely financial eligibility processing.
• Review AR Aging and collaborate with AR team members, functional partners, or local office staff on eligibility-related billing issues.
• Prepare supporting documentation for eligibility-related sales adjustments, such as gaps in coverage.
• When Sevita is not the representative payee, support field teams with escalation questions as a subject matter expert on state expectations and timing.
• Perform other related duties and activities as required.

Benefits

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

What This Job Offers

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