Eligibility Specialist

Eligibility Specialist

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Job Description

The main purpose of theEligibility Specialist is to ensure patient(s)/client(s) are enrolled into DSHS programs and HRSA Sliding Scale Programs for medical and dental services.

• Assesses/screens patients/clients financial situation for eligibility to qualify for various grants and sliding fee scale (SFS).
• Updates job knowledge via quarterly departmental trainings and state programs as required by grant policies, etc.
• Responsible for educating the patient(s)/client(s) on the servicescovered by the various grants/SFS that they qualify for.
• Maintains patient(s)/client(s)confidentiality by protecting information in the practice management software.
• Keeps eligibility records neat, organized, and confidentially filed/stored at all times.
• Scanning, faxing, chart documentation of DSHS and HRSA Sliding Scale Programs.
• Responsible for submission of eligibility reports as required to supervisor on a monthly basis.
• CAC Certification will be required within the first year of employment.
• Responsible for scheduling, taking payments, etc. as it relates to patient accounts.
• Carries out other duties as assigned.

Qualifications

• High School Diploma or GED
• Some College/Associate's Degree preferred
• Must have at least one year of customer service experience.
• Excellent verbal and written, communication, organizational skills.
• Minimum of one year office experience required.

• Requires a valid Texas Driver’s License, appropriate driving record and auto liability insurance that meets the minimum required by State of Texas statute.

• Strong oral and written communication skills.
• Ability to work effectively and professionally in a fast-paced environment.
• Knowledge of and ability to work and engage with uninsured, under-served and under-represented populations.
• Able to type at least 40 wpm with basic computer skills.
• Attention to detail.

Additional Information

Wellness Pointe is an Equal Opportunity, 'Veteran Friendly' Employer.