Eligibility Specialist

7 days ago


Phoenix, Arizona, United States Mountain Park Health Center Full time
Job Summary

We are seeking a highly skilled Eligibility Specialist to join our team at Mountain Park Health Center. As an Eligibility Specialist, you will play a critical role in ensuring that patients understand their health benefit options and facilitate their enrollment in health benefits.

Key Responsibilities
  • Assist patients in understanding their health benefit options and facilitate their enrollment in health benefits.
  • Create and complete accurate applications for medical assistance programs offered by MPHC.
  • Ensure all support documentation and signatures are included with the eligibility application, as required.
  • Transfer income and other required information into the Practice Management System and assign appropriate discount plans to eligible patients.
  • Meet productivity requirements and work with team members to optimize time and service to patients.
  • Stay up-to-date with rules and regulations regarding medical assistance programs offered by the organization and apply changes as instructed by the department manager.
  • Complete all training offered by the department manager or the health center as approved.
  • Follow established workflows, policies, and procedures for accurate input of data that aligns with the Practice Management System.
  • Stay current with rules and regulations regarding medical assistance programs offered by the organization.
  • Complete required certification and license to complete federal and state eligibility enrollment programs.
  • Maintain program compliance by producing accurate work and meeting expectations for internal and external audits.
  • Possess the ability and willingness to learn about and execute implementation of new medical assistance programs.
  • Travel to multiple locations as needed.
Requirements
  • High school diploma or equivalent
  • Valid driver's license
Preferred Qualifications
  • At least 2 years of relevant experience in benefit qualification, assessment, or processing


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