Eligibility and Financial Screening Specialist jobs in United States
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Central Health · 4 days ago

Eligibility and Financial Screening Specialist

Central Health is a healthcare organization seeking an Eligibility and Financial Screening Specialist. This role is responsible for determining eligibility, providing financial screening, and assisting clients with enrollment in healthcare programs while maintaining accurate client records and delivering exceptional customer service.

Health CareHealth DiagnosticsMedical

Responsibilities

Interview applicants via video visits, phone calls, and in person in a professional manner to obtain demographic, financial, and household information
Screen and determine eligibility for local, state, and federal healthcare coverage programs and specialty funded programs and grants
Accurately apply the Eligibility Policies and Procedures to determine client eligibility and enroll eligible clients into the appropriate local and grant programs, and assist clients with submitting applications for state and federal health coverage programs
Maintain client files and contacts, and accurately enter data into eligibility databases and EMR systems
Submit, assist, and troubleshoot state and federal program applications
Educate clients on available programs, benefits, and services both in person and via phone or email
Answer incoming calls regarding Eligibility services and make outbound calls as needed
Attend community events and represent the organization as needed, including evenings and weekends
Identify and refer clients to additional services and community resources
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

EMR proficiencyFinancial eligibility knowledgeBilingual (English/Spanish)Customer service skillsData entry proficiencyProblem-solving abilitiesCritical thinking abilitiesInterpersonal skillsAttention to detail

Required

High School Diploma or equivalent required
3 years Experience working in health care, government, non-profit, or a customer service industry
Strong interpersonal and customer service skills
Proficiency in data entry and use of EMR, Microsoft Office Suite, Excel, and Adobe Pro
Know how to find information and ability to analyze information and evaluate results to choose the best solution
Knowledge of financial eligibility processes, regulatory standards, and specialty grants (Ryan White, Title V, PHC, Family Planning)
Conflict resolution, problem-solving, and critical thinking abilities
Ability to work effectively with diverse populations and adjust actions based on client needs
Ability to multi-task and maintain attention to detail under pressure

Preferred

Bilingual (English/Spanish) highly preferred

Company

Central Health

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Central Health is a health care company provides access to healthcare services to eligible residents of Travis County.

Funding

Current Stage
Late Stage

Leadership Team

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Jonathan Morgan
Chief Operating Officer
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Alan Schalscha
Chief Medical Officer
Company data provided by crunchbase