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Eligibility Specialist

Los Barrios Unidos Community Clinic
West, TX
Eligibility Specialist Location Dallas, TX (West Dallas area) : JOB STATEMENT The Eligibility Specialist is responsible for assisting patients with the clinic registration process and the enrollment to different local, state, and federal health coverage programs. JOB F UNCTIONS  Assists individuals enrolling in clinic sliding fee, Medicaid, CHIP, Marketplace/ACA health plans, or other qualified programs. Provides patients with information about insurance affordability programs and coverage options.  Educates patients about insurance; including deductibles, co-insurance, and premiums.  Interviews benefit recipients at specified intervals to certify their eligibility for continuing benefits.  Interprets eligibility requirements, application details, and legal rights.  Compiles records and evaluates personal and financial data.  Work with team members to identify system and workflow improvements to enhance efficiencies.  Keeps records of assigned cases and prepares reports.  Helps with outreach and enrollment fairs as scheduled.  Performs other tasks as required by supervision. MINIMUM QUALIFICATIONS  Education: Minimum High School Diploma or equivalent  Specialized Training/Certifications/Licenses: None  Experience: None  Knowledge : o Basic understanding of health coverage (preferred) o Bilingual - Fluent in both English and Spanish  Skills: o Basic Computer Literacy o Data Entry o Proficient with Microsoft Office (Word, Excel) o Customer Oriented o Attention to Detail o Confidentiality o Interpersonal Relations  Abilities : o Must be able to speak, read, write, and comprehend the English language. o Ability to sit for majority of the shift. : Eligibility Specialist Page 2 of 2 o Must be able to bend or stoop. o Must be able to lift 20 lbs. unassisted o Must have good vision (e.g. near acuity and depth perception)  Other: o Must be able to periodically work on Saturdays. o May require some local travel between different clinic locations. o Must be able to maintain required immunizations as required by the organization. o Must be able to obtain certifications as needed/required for certain health programs.
Posted 2025-09-24

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