Insurance Verification Specialist or Case Management Assistant

SGS_JOB_3393

Business Support
Remote
Insurance verification
health insurance
Medicaid verification
Customer service
and HIPP / Premium Assistance Program

Contract - 3 months

Seeking professionals with experience in health insurance or Medicaid verification to support Medicaid-eligible members under the HIPP / Premium Assistance Program. The role involves insurance verification, eligibility documentation, case maintenance, and high-volume customer interaction.

Job Responsibilities:

  • Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members.
  • Verify, document, and investigate the presence of health care coverage for Medicaid recipients and their families.
  • Assist in the identification of members that may qualify for the HIPP/Premium Assistance program.
  • Complete periodic reports.
  • Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program.
  • Data entry includes accurate and timely entry of information.
  • Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program.
  • Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.

Skills:

  • Insurance verification, health insurance, Medicaid verification, Customer service, and HIPP / Premium Assistance Program.

Education/Experience:

  • High School Diploma or equivalent required
  • Min. 2 years of experience in insurance industry, health care or government sponsored health insurance to include customer service and medical billing knowledge or similar math related experience.
  • Min. 2-year experience working on the phone, making inquiries (outbound) and answering calls (inbound).
  • Call Center Experience Preferred
  • Human Resources or Health Insurance Experience preferred
  • Bilingual Preferred
  • Knowledge of health care terminology is a plus.

Related Jobs

Healthcare Consultant I - SW Ohio

Business Support
 Ohio
03+ Months Extendable

Candidates must reside in one of these counties: Central/Southeast OHIO Counties ** Candidates could be required to travel to the corporate office in Franklin County for onsite meetings. These usually happen 1-2 times a year. ** Travel to office is not reimbursable.

Bilingual
Spanish
Healthcare consultant
Case Management
Case Manager
Case Management Coordinator

Healthcare Consultant I - SW Ohio

Business Support
 Ohio
03+ Months Extendable

Location (mandatory): SW OHIO Counties: Adams, Allen, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Defiance, Fulton, Green, Hamilton, Hardin, Henry, Lawrence, Logan, Lucas, Madison, Mercer, Miami, Montgomery, Paulding, Preble, Putnam, Scioto, Shelby, Van Wert, Warren, Williams in OHIO ): Candidates must reside in one of these counties: SW OHIO Counties: Adams, Allen, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Defiance, Fulton, Green, Hamilton, Hardin, Henry, Lawrence, Logan, Lucas, Madison, Mercer, Miami, Montgomery, Paulding, Preble, Putnam, Scioto, Shelby, Van Wert, Warren, Williams ** Candidates could be required to travel to the corporate office in Franklin County for onsite meetings. These usually happen 1-2 times a year. **

Bilingual
Spanish
Healthcare consultant
Case Management
Case Manager
Case Management Coordinator

Healthcare Consultant I - North Miami area

Business Support
 Florida
03+ Months Extendable

Location (mandatory): Candidates MUST reside in North Miami, Aventura, Hialeah or Miramar in Florida Candidates must reside in North Miami, Aventura, Hialeah or Miramar. Training will be conducted remotely via Microsoft Teams. Candidates will travel approximately 75% of the time within the region seeing members at home, in assisted living facilities and nursing homes

Bilingual
Spanish
Healthcare consultant
Case Management
Case Manager
Case Management Coordinator

Healthcare Consultant I: Field Case Management POLK County

Business Support
 Florida
03+ Months Extendable

Location (mandatory): Lakeland, Auburndale, Bartow, Lake Wales, Winter Haven in Florida Work from Home. must be in one of these cities: Lakeland, Auburndale, Bartow, Lake Wales, Winter Haven Bilingual (Spanish) seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team in the Lakeland, Auburndale, Bartow, Lake Wales, Winter Haven in Florida

Bilingual
Spanish
Healthcare consultant
Case Management
Case Manager
Case Management Coordinator

Healthcare Consultant I - Miami-Dade County, FL (Hialeah)

Business Support
 Florida
03+ Months Extendable

Location (mandatory): Hialeah/ Miami-Dade County, FL This role will require 50-75% travel for face-to-face visits with members in the Hialeah (Must be in 33010, 33012, 33013, 33014, 33015, 33016, 33018) area of Miami-Dade County, FL.

Bilingual
Spanish
Healthcare consultant
Case Management
Case Manager
Case Management Coordinator

Paralegal

Business Support
 Arizona
06+ Months Extendable

Location (mandatory): Phoenix, AZ 85040 (Hybrid) The person in this role is responsible for providing Paralegal support with Medicaid state fair hearings to ensure compliance with federal and state standards.

Paralegal
Medicaid
Federal
STATE
Medicare
Litigation
Paralegal Certification
Attorney

Illustrator II

Business Support
Remote
6 months Contract

ad-hoc work - when manager reaches out. Hours will vary must be ok viewing sensitive photos will be working across many divisions on presentations for current medical professionals Please submit portfolio and resume together Medical/scientific drawings no defined work schedule. manager ok with someone working a full time job and this role on the side

Medical/scientific
technical
medical
architectural
scientific and cartoon illustrations

Video Surveillance Operator

Business Support
 Nevada
6 Months

Location (mandatory): Las Vegas, NV The Surveillance Operator is a desk-based, onsite security monitoring role responsible for reviewing live video feeds, identifying potential threats, and taking immediate action such as issuing real-time audio warnings or contacting law enforcement/property representatives. Operators monitor multiple sites nationwide using proprietary software and work in a fast-paced, multi-screen environment. This role is not related to casino surveillance and is not located on the Las Vegas Strip. WORK ENVIRONMENT: Fast-paced operations center Heavy computer and multi-monitor use Safe, climate-controlled office setting Structured, non-flexible schedules — employees must work the shift hired for Communication currently via Microsoft platforms; transitioning to Google Meet/Google Mail

CCTV
Video Surveillance
Investigation

Physician Assistant

Business Support
 Texas
06+ Months Extendable

Location (mandatory): San Antonio, TX 78258 Physician Assistants will work in collaboration with a dedicated clinical care team to provide evidenced-based care to a panel of patients. The clinical care team will work with the provider daily to drive better outcomes for entire panel of patients. This will include accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning.

Physician
Physician Assistant
Primary Care
Chronic
logo

At SGS Consulting, we go beyond resume-job matches, creating meaningful connections and pathways for individuals to thrive in defining careers.


© 2026 All rights reserved.
logologologologo