Entitlement Specialist

Overview

At Groups Recover Together, we are redefining what effective, compassionate opioid use disorder (OUD) treatment looks like, bringing care directly to the communities that need it most. Since 2014, we have supported hundreds of thousands of individuals on their recovery journey through a model that combines medication for addiction treatment (MAT), group therapy, and ongoing peer support.

At Groups, the Entitlement Specialist plays a critical role on our Revenue Cycle Management team, helping members access essential healthcare coverage and public benefits. This position partners closely with clinical and financial teams to support members in navigating Medicaid, Medicare, Marketplace plans, and other state and federal assistance programs.

Fully Remote work (Not available to residents of: AK, AR, CA, HI, ID, MD, NE, SD, UT, WY).

This position is fully remote, however, for this role, we are prioritizing candidates who align with the Eastern time zone (EDT/EST) for consistent overlap and availability with our core clinical and operational teams.

Hourly pay range: $19 - $25

Responsibilities

Schedule

This role follows one of two full-time schedule options: 5 x 8-hour shifts, Monday through Friday, or 4 x 10-hour shifts, Tuesday through Friday. Shifts are scheduled to cover core business hours between 7:00 a.m. and 9:00 p.m. Eastern, depending on team and business needs.

What You’ll Do

• Partner with a multidisciplinary care team to support member-centered care and remove barriers to coverage.

• Guide members through applications for Medicaid, Medicare, Marketplace plans, SNAP, Social Security Disability, and other benefits.

• Support annual redeterminations and ongoing eligibility maintenance.

• Assist members in gathering required documentation and coordinating with external agencies.

• Serve as a regional subject matter expert on insurance and public benefit resources.

• Collaborate with the Member Financial team to communicate eligibility updates and resolve inactive or lapsed coverage.

• Provide cross-state support as needed.

• Connect members to community resources and follow through to ensure needs are met.

• Maintain accurate, timely documentation in EHR and financial systems.

• Participate in ongoing training and certification requirements.

Qualifications

What You Bring

• Working knowledge of Medicaid, Medicare, Marketplace, and public assistance programs, or the ability to quickly build expertise.

• Experience supporting benefit applications, insurance navigation, or social services.

• Strong communication skills, with the ability to explain complex information clearly and compassionately.

• Ability to build trust with diverse populations while maintaining professional boundaries.

• High attention to detail and strong documentation practices.

• Comfort working independently in a fast-paced, team-oriented environment.

• Commitment to member-centered care and harm reduction principles.

• Familiarity with motivational interviewing techniques is a plus.

• Proficiency with office technology and systems, including Google Workspace, EHRs, and similar tools.

Qualifications

• Associate’s degree or higher, preferably in social services, human services, or a related field.

• At least 1 year of experience in benefits navigation, insurance support, or a social or behavioral health setting preferred.

• Equivalent experience with a willingness to complete training may be considered.

Additional Requirements

• For remote roles, reliable high-speed internet and telephone service are required, including at least 50 Mbps download and 10 Mbps upload, along with a strong Wi-Fi signal from the remote work location.

• Must meet all pre-employment and state-specific compliance requirements, which may include background screening, fingerprinting, drug testing, health screening, CPR or Basic First Aid, and license or credential verification, depending on role and location.

Why Groups

• Mission-driven work supporting individuals in recovery.

• Collaborative, team-based environment.

• Opportunity to build expertise in healthcare access and benefits navigation.

• Meaningful impact on member outcomes and continuity of care.

Originally posted on Himalayas