Patient Eligibility Specialist

3 hours ago


Albuquerque, New Mexico, United States First Choice Community Healthcare INC Full time
Job Title: Patient Eligibility Specialist

First Choice Community Healthcare INC is seeking a highly motivated and detail-oriented Patient Eligibility Specialist to join our team. As a Patient Eligibility Specialist, you will play a critical role in ensuring that our patients receive the healthcare services they need by determining their eligibility for various healthcare funding programs.

Key Responsibilities:
  • Provide accurate and impartial information to patients and the general public about health insurance coverage available to them and their families under the Affordable Care Act.
  • Conduct outreach and education activities in clinics and in community settings to meet community needs.
  • Explain and assist existing patients and the general public with eligibility determination and application for various healthcare financial assistance and/or insurance programs.
  • Verify insurance eligibility for Medicaid, Medicare, and third-party payors, ensuring that all documentation has been accepted by HSD or other agencies.
  • Update patient records in the practice management system, including income and insurance information.
  • Provide information to patients and the general public concerning functions of FCCH, ensuring customer satisfaction and the highest level of customer service.
  • Ensure that monthly quotas for enrollment are met and documented for grant reporting.
Requirements:
  • High School graduate or GED certificate
  • At least two years related experience and/or training is required.
  • Bi-lingual English/Spanish is preferred.
Working Conditions:

This position requires frequent travel throughout the Greater Albuquerque metropolitan area. Work schedule will include some weekends and evenings.



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