<p><strong>Pay Plan Title:</strong>Eligibility Enrollment Specialist I</p><p><strong>Working Title:</strong>Eligibility Enrollment Specialist I</p><p><strong>FLSA Status:</strong>Non-Exempt</p><p><strong>Posting Salary Range:</strong>$36,192 - $45,964</p><p><strong>Office Location:</strong>Remote within North Carolina.</p><h3>POSTING DETAILS:</h3><h3>Make an Impact</h3><p><a href="https://himalayas.app/companies/trillium-health-resources">Trillium Health Resources</a> is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.</p><p><strong>Why Work for Us</strong>?</p><p>Trillium believes that empowering others begins with supporting our team. We offer our employees:</p><div><ul> <li>A collaborative, mission-driven work environment</li> <li>Competitive benefits and work-from-home options for most positions</li> <li>Opportunities for professional growth in a diverse inclusive culture</li> </ul></div><p>Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.</p><p>If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!</p><h3>What We’re Looking For</h3><p><a href="https://himalayas.app/companies/trillium-health-resources">Trillium Health Resources</a> has a career opening for an Eligibility Enrollment Specialist I to join our team! The Eligibility Enrollment Specialists’ primary responsibilities include approving and processing enrollment requests and member updates, verifying Medicaid eligibility, verifying third party insurance, performing eligibility data integrity checks and corrections in Trillium’s software platform.</p><h3>On a typical day, you might:</h3><div><ul> <li>Process and approve enrollment requests for State Funds and member updates for Medicaid and State funded members submitted by provider agencies.</li> <li>Monitor Medicaid eligibility and third-party insurance coverage of members and notify appropriate staff about changes and/or lapses in coverage that could affect service delivery.</li> <li>Verify members are appropriately enrolled as a Trillium member based on Medicaid eligibility data and State Funded eligibility criteria.</li> <li>Educate staff about types of Medicaid and third-party insurance coverages held by members.</li> <li>Verify pertinent member information in Trillium’s software platform and make corrections if necessary, based on policies and procedures.</li> </ul></div><h3>Employee Benefits:</h3><p>Trillium knows that work/life balance is essential. That’s why we offer:</p><div><ul> <li>Typical working hou