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Eligibility Enrollment Specialist I

Trillium Health Resources
1 day ago
Full-time
Remote
United States
$34,800 - $44,196 USD yearly

Pay Plan Title: Eligibility Enrollment Specialist I

Working Title: Eligibility Enrollment Specialist I

FLSA Status: Non-Exempt

Posting Salary Range: $34,800 - $44,196

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) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
  • 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 required. 
  • One (1) year of clerical experience required, 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:   Thursday May 14, 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 typeT, 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.


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