Eligibility Specialist

: 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.