Medicaid Eligibility Specialist, St. Luke's Hospital of Kansas City

Centauri Health Solutions

Kansas City, KS, US
  • Job Type: Full-Time
  • Function: Life Sciences R&D/Engineering
  • Post Date: 06/24/2025
  • Website: www.centaurihs.com
  • Company Address: 16260 North 71st Street Suite 325, Scottsdale, AZ 85254

About Centauri Health Solutions

Centauri Health Solutions is a healthcare technology and services company driven by our desire to make the healthcare system work better for our clients and to provide compassionate support for individuals in need.

Our analytics-powered software enables hospitals and health plans (Medicare, Medicaid, Exchange and Commercial) to manage their variable revenue through a custom-built workflow platform. While our tailored support of their patients and members provides them with access to life-enhancing benefits.

Job Description

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.

Who You Are

 

Are you devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients? Do you aim to provide the same level of care and commitment to your patients that you would to your own family member, never sacrificing quality over quantity? Are you passionate about getting to the root cause of a patient’s conditions and ensuring the highest possible quality of life for those in your care? If you answered yes, we should talk.

 

Role Summary:

The Patient Eligibility Specialist/Patient Service Representative works onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Eligibility Specialists conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of the benefits application process. The  Eligibility Specialists partner with team members and clients to ensure that patient's and client’s needs are met. 

 

Schedule will be Monday - Friday, 9:00 am - 5:30 pm; some travel between other Cleveland Clinic locations may be required.* 

 

Primary Location: 

4401 Wornall Rd, Kansas City, MO 64111

Learn more about this position by watching a short interview with a current Centauri associate: https://www.youtube.com/watch?v=PFboT-nT4yg

 

Role Responsibilities:

  • Meet with under-insured or uninsured patients to explore & identify all possible eligibility program solutions/options
  • Obtain and review referrals daily to determine appropriateness for potential interview and eligibility, begin application process when possible
  • Interview patients; conduct analysis of potential reimbursement, and determine eligibility
  • Introduce services, sets expectations for process and communication to ensure patient understanding
  • Partner with patients to ensure patient understanding of process and assist with any questions during the application process
  • Obtain and manage all needed forms from patients, and follow up throughout process
  • Identify any additional patient needs and direct them to appropriate agencies for assistance
  • Leverage technology and account processing workflows; maintains data integrity with accurate and concise documentation in systems
  • Serve as intermediary for client, account reps and managers, while interacting with team members and hospital staff in a productive, cooperative manner
  • Provide strong client service and collaboration with the team
  • Understand and agree to role-specific information security access and responsibilities
  • Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
  • Read, understand and agree to security policies and complete all annual security and compliance training

 

Role Requirements:

  • 2+ years customer service experience
  • Must have reliable transportation
  • Fluency in Spanish and English Preferred (speak, read, write)
  • Must be able to work onsite at hospital facility
  • Must be able to work schedule required
  • Outstanding communication skills and desire to provide excellent customer service
  • A strong concept of patient advocacy and the desire to help someone every day
  • A strong work ethic, ability to work independently while making a difference
  • Strong computer skills and the ability to multitask while working in a fast-paced environment
  • A positive outlook and eagerness to learn
  • Consistent punctuality and attendance
  • Healthcare experience, patient contact experience a strong plus
We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan. 
 
Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law. 
 
Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.
This position is bonus eligible in accordance with the terms of the Company’s plan.

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Disclaimer: Local Candidates Only
This company does NOT accept candidates from outside recruiting firms. Agency contacts are not welcome.