The Eligibility Specialist will enroll uninsured patients into insurance and resource programs for which they are eligible. In this role, they will maximize enrollment into programs in which Neighborcare is a provider, verify and record uninsured patient’s family size and income, and place them on the sliding fee scale if appropriate. The Eligibility Specialist will work in partnership and joint accountability with other team members to achieve Neighborcare’s Mission and Guiding Principles and goals.
Neighborcare Health offers a robust benefit package including Health, Wellness & Retirement benefits: Medical, Dental & Vision Insurance, 18 days of Paid Time Off, 9-Paid Holidays, Retirement with Matching, Life & AD&D, Pet Insurance, Employee Assistance Program, & More! This position is eligible for the Staff Referral Program
In This Position You Will
Conduct in-depth interviews with applicants to determine eligibility for various programs including the Neighborcare Health sliding fee scale; interpret rules and regulations and explain rights and responsibilities of clients; gather, organize and document large amounts of information.
Solicit and verify pertinent eligibility information, i.e. residence, citizenship, family size, income and other financial resources; assist applicants in obtaining information, resolving discrepancies, and completing applications.
Determine initial and renewal eligibility for public sponsored assistance in accordance with established policies and procedures; complete data entry, research policies and rules to obtain answers to questions around applicant’s or client’s eligibility.
Maintain working knowledge of a variety of health plans by attending trainings and meetings, and conveying the options to clients.
Collaborate with Front Desk staff, call center and Insurance Verification Team to identify and meet with uninsured patients likely to qualify for insurance coverage.
Assist insured patients with completing renewals and adding changes to their plans ensuring they are eligible to be seen by Neighborcare providers. Refer clients to necessary resources in order to complete the application.
Maintain a system for tracking the progress and outcomes of applications, as well as client records, statistical data, and other information as needed. Assist patients with changes to their plans and/or refer them to necessary resources in order to complete applications for services of which they may qualify.
Required Qualifications
High school diploma or equivalent. Related work/volunteer experience may be substituted for education.
WA Affordable Care Act Navigator certification (within the first three months of employment). Complete quarterly requirements/evaluations and maintain certification. Stay current on Public Insurance/benefits/programs by attending on-site/off-site trainings and meetings.
Ability to travel to Seattle Clinics and to our Providence St. Peter Dental Clinic 2-days per week
Preferred Qualifications
2-years outreach and enrollment experience.
Our Mission
The mission of Neighborcare Health is to provide comprehensive health care to families and individuals who have difficulty accessing care; respond with sensitivity to the needs of our culturally diverse patients; and advocate and work with others to improve the overall health status of the communities we serve.
About Our Service Commitments
Our service commitments were created by staff members, leaders, board members and patients. We use these as a guide and expectation for how we treat our patients and each other. You may learn more about our service commitments here, https://neighborcare.org/about-us/service-commitments/
Serving patients
Serving each other
A warm welcome
Caring
Respect
Working together
Trusting Relationship
About Us
For 50 years, Neighborcare Health has been caring for our neighbors with essential medical and dental care, counseling, outreach, health education and more in Seattle, Vashon, and our newest dental clinic in Olympia! Our purpose is to improve health by engaging, educating, and empowering people in the communities we serve. We are looking to hire the best talent to support our culturally diverse workplace and community.
Compensation
The wage range for this position is minimum $20.40 up to $ 28.30 maximum.
Compensation will be determined based on years of relevant experience.
Union: Yes
Full job description will be provided during the interview process.
Seniority level
Associate
Employment type
Full-time
Job function
Other
Industries
Non-profit Organizations, Mental Health Care, and Hospitals and Health Care
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