Eligibility Enrollment Specialist I
Budget / Salary$36,192–45,964
TypeFull-time job
LocationUnited States
Posted2 hours ago
Pay Plan Title:Eligibility Enrollment Specialist I
Working Title:Eligibility Enrollment Specialist I
FLSA Status:Non-Exempt
Posting Salary Range:$36,192 - $45,964
Office Location:Remote within North Carolina.
POSTING DETAILS:
Make an Impact
Trillium Health Resources 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.
Why Work for Us?
Trillium believes that empowering others begins with supporting our team. We offer our employees:
A collaborative, mission-driven work environment
Competitive benefits and work-from-home options for most positions
Opportunities for professional growth in a diverse inclusive culture
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.
If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!
What We’re Looking For
Trillium Health Resources 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.
On a typical day, you might:
Process and approve enrollment requests for State Funds and member updates for Medicaid and State funded members submitted by provider agencies.
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.
Verify members are appropriately enrolled as a Trillium member based on Medicaid eligibility data and State Funded eligibility criteria.
Educate staff about types of Medicaid and third-party insurance coverages held by members.
Verify pertinent member information in Trillium’s software platform and make corrections if necessary, based on policies and procedures.
Employee Benefits:
Trillium knows that work/life balance is essential. That’s why we offer:
Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
Work-from-home options available for most positions
Health Insurance with no premium for employee coverage
Flexible Spending Accounts
24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
NC Local Government Retirement Pension (defined-benefit plan)
401k with 5% employer match and immediate vesting
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies
Qualifications
Required:
High School Diploma or GED and one (1) year of clerical experience; OR
Equivalent combination of education/experience.
Requires computer-related experience.
Must have a valid driver’s license.
Must reside within North Carolina.
Must be able to travel within catchment as required.
Preferred:
Experience in health care field and/or experience in Medicaid eligibility.
Deadline for Application:Monday August 17, 2026 at 11:59pm
How to Apply
To be considered, submit your application and resume through our ADP Career Center. Your resume must include:
Employer name, dates of service (month/year), average hours worked per week, and essential job duties
Education details (degree type, date awarded, institution, field of study)
Licensure/certification information, if applicable
After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.
Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.
Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.
#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth
Originally posted on Himalayas
Working Title:Eligibility Enrollment Specialist I
FLSA Status:Non-Exempt
Posting Salary Range:$36,192 - $45,964
Office Location:Remote within North Carolina.
POSTING DETAILS:
Make an Impact
Trillium Health Resources 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.
Why Work for Us?
Trillium believes that empowering others begins with supporting our team. We offer our employees:
A collaborative, mission-driven work environment
Competitive benefits and work-from-home options for most positions
Opportunities for professional growth in a diverse inclusive culture
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.
If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!
What We’re Looking For
Trillium Health Resources 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.
On a typical day, you might:
Process and approve enrollment requests for State Funds and member updates for Medicaid and State funded members submitted by provider agencies.
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.
Verify members are appropriately enrolled as a Trillium member based on Medicaid eligibility data and State Funded eligibility criteria.
Educate staff about types of Medicaid and third-party insurance coverages held by members.
Verify pertinent member information in Trillium’s software platform and make corrections if necessary, based on policies and procedures.
Employee Benefits:
Trillium knows that work/life balance is essential. That’s why we offer:
Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
Work-from-home options available for most positions
Health Insurance with no premium for employee coverage
Flexible Spending Accounts
24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
NC Local Government Retirement Pension (defined-benefit plan)
401k with 5% employer match and immediate vesting
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies
Qualifications
Required:
High School Diploma or GED and one (1) year of clerical experience; OR
Equivalent combination of education/experience.
Requires computer-related experience.
Must have a valid driver’s license.
Must reside within North Carolina.
Must be able to travel within catchment as required.
Preferred:
Experience in health care field and/or experience in Medicaid eligibility.
Deadline for Application:Monday August 17, 2026 at 11:59pm
How to Apply
To be considered, submit your application and resume through our ADP Career Center. Your resume must include:
Employer name, dates of service (month/year), average hours worked per week, and essential job duties
Education details (degree type, date awarded, institution, field of study)
Licensure/certification information, if applicable
After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.
Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.
Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.
#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth
Originally posted on Himalayas
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