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Central Health · 2 days ago

Sr. Eligibility and Financial Screening Specialist

David Powell

Full-time

Onsite

Mid, Senior Level

4+ years exp

Central Health is seeking a Senior Eligibility and Financial Screening Specialist to coordinate day-to-day operations of eligibility determination and financial screening for healthcare programs. The role includes managing case referrals, conducting file reviews, and assisting clients with enrollment applications while ensuring compliance with regulatory standards.

Health CareHealth DiagnosticsMedical

Responsibilities

Lead work group activities as directed by program supervisor, including providing daily oversight and coordination for assigned eligibility work sites

Assist in implementing performance standards, delivering staff training, resolving staff inquiries and enforcing policies and procedures

Complete file reviews and performance reports for assigned staff

Support evaluation processes for activities performed by Eligibility Services staff, including site reviews, file assessments, interviews, outcome evaluations, and occasional assessments of contractor performance

Accurately apply the Eligibility Policies and Procedures to determine client eligibility and enroll eligible clients into the appropriate local and grant programs. Assist clients with submitting applications for state and federal health coverage programs

Coordinate and oversees MAP mail-in and electronic application processing to include assigning work responsibilities to staff and following-up to ensure applications are processed as per deadlines, resolving problems, answering staff questions and interpreting and enforcing policy and procedure

Compile data and generate reports to track key performance metrics, utilizing insights to improve client outreach and service delivery

Attend community events and represent the organization as needed, including evenings and weekends

Attend training and review all emails, newsletters and documents in order to stay current with changes in laws, regulations, and program eligibility requirements

Uphold the organization's values by consistently demonstrating professionalism in all actions, job performance, personal conduct, and communications

Perform other related duties as assigned

Qualification

Financial eligibility processesData entryEMR proficiencyMicrosoft Office SuiteAnalytical skillsBilingual (English/Spanish)Customer service skillsProblem-solving skillsOrganizational skillsTime management skillsCritical thinking

Required

High School Diploma or equivalent (higher degree accepted) or High School Diploma equivalent

4 years Experience working in health care, government, nonprofit, or a customer service industry

ACA Certification Within 6 Months Required

Community Partner Program Certification Within 6 Months Required

Strong planning, organizational, and time management skills, with the ability to prioritize tasks, manage competing deadlines, and maintain attention to detail

Excellent interpersonal and customer service skills

Proficiency in data entry and use of EMR, Microsoft Office Suite, Excel, and Adobe Pro

Strong analytical and processing skills, with the ability to identify trends and improve performance outcomes

Knowledge of financial eligibility processes, regulatory standards, and specialty grants (Ryan White, Title V, PHC, Family Planning)

Ability to effectively solve problems, resolve conflicts and apply critical thinking in a fast-paced environment

Ability to work effectively with diverse populations and adjust actions based on client needs