Reports to: Eligibility Manager
Position Overview:
Position is directly involved in establishing and documenting client eligibility for various programs and benefits
Job Duties & Responsibilities:
Manage the schedule of client appointments
Research and resolve client eligibility issues thoroughly, timely manner, and accurately
Respond timely to member eligibility inquiries from internal and external stakeholders
Request necessary information to determine eligibility in a timely and accurate manner
Maintains confidentiality of all business matters
Maintain files for incoming eligibility documents and new client referrals
Complete client enrollments and renewals
Complete outcome measurements for clients
Complete internal audits, and preparations as needed for external audits
Manually update member eligibility data in the Client Services database
Manage emergency client renewals and requests for assistance
Provide guidance to clients as a healthcare professional
Refer clients to case managers who need additional services
Other duties as assigned
Job Requirements & Qualifications:
1 year of previous experience in determining Ryan White eligibility is preferred.
Familiarity with Microsoft Office applications
Ability to work efficiently and effectively with clients from underserved populations
Ability to work efficiently and effectively with a diverse set of co-workers
Strong time management skills
Excellent written & oral communication skills
Excellent technical & business acumen
Spanish-Speaking Preferred
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