Financial Eligibility Worker

Position Summary

The Financial Eligibility Worker will assist NECC patients that do not have medical insurance coverage. This position will be responsible for assisting patients with the application process and enrolling the patient into various insurance programs if qualified.

Schedule:

• Flexible, may require some evening and weekends

Primary Duties and Responsibilities

• Review Provider schedules and identify patients with no medical insurance coverage

• Newborns

• Children previously seen under Gateway and/or Public Private Partnership (PPP) Program

• Patient with Share of Cost

• Screen Families and educate them on various health insurance programs available and necessary qualifications

• Enroll patients according to their qualifications

• Assist patients with all necessary forms for initial enrollment and redetermination process, as necessary

• Assist patients with all other necessary forms and paperwork pertaining to health insurance coverage

• Conduct follow-up with applicants to ensure any and all required documentation and paperwork is submitted and inform patients of any approved health insurance coverage

• Other duties as assigned by the HCC Coder, Clinic Manager or Operations Director

Secondary Duties and Responsibilities

• Act as a patient advocate and a liaison between patients and the clinic, ensuring 100% patient satisfaction
• Identify and resolve issues that could lead to member dissatisfaction and could affect member retention.
• Help Patients with Insurance questions.

Minimum Requirements

• Microsoft Office (Word, Excel, Outlook)
• Excellent Communication Skills
• Excellent Customer Service
• Bilingual English/Spanish preferred
• Ability to work as a team player and work independently
• Reliable transportation
• Must be able to travel from facility to facility
• This position requires 10 % travel outside the local area.

Required Education/Experience and/or Licensure/Certification

• High school diploma or GED equivalent
• 1 year minimum experience in similar job related duties
• Commitment to goals and philosophy of Northeast Community Clinic
• Valid State Identification

Physical Requirements and Working Conditions

• OSHA Category 2 - Involves no regular exposure to blood, body fluids, or tissues, but may require unplanned tasks that involve exposure to blood, body fluids, or tissues.
• The work is majority of the time sedentary in nature.
• The employee is regularly required to communicate, frequently required to use repetitive motions, move, remain stationary, regularly push, pull and lift up to 20 pounds and occasionally push, pull and lift up to 40 pounds.
• Must possess mobility to work in a standard office/clinic setting (in some cases both settings) and to use standard office/clinic equipment, including a computer, stamina to maintain attention to detail despite interruptions, read printed materials and use a computer, and communicate in person and over the telephone.