Part-Time Eligibility Specialist

Reports to: Eligibility Manager

Position Overview:

Position is directly involved in establishing and documenting client eligibility for various programs and benefits

Job Duties & Responsibilities:

• Responsible for intakes, updates, and compliance

• Manage the schedule of client appointments

• Research and resolve client eligibility issues thoroughly, timely manner, and accurately

• Respond timely to member eligibility inquiries from internal and external stakeholders

• Request necessary information to determine eligibility in a timely and accurate manner

• Maintains confidentiality of all business matters

• Maintain files for incoming eligibility documents and new client referrals

• Complete client enrollments and renewals

• Complete outcome measurements for clients

• Complete internal audits, and preparations as needed for external audits

• Manually update member eligibility data in the Client Services database

• Manage emergency client renewals and requests for assistance

• Provide guidance to clients as a healthcare professional

• Refer clients to case managers who need additional services

• Other duties as assigned

Job Requirements & Qualifications:

• Associates degree or 3+ years in the HIV field; experience may substitute for education

• 1 year of previous experience in determining Ryan White eligibility is preferred.

• Familiarity with Microsoft Office applications

• Ability to work efficiently and effectively with clients from underserved populations

• Ability to work efficiently and effectively with a diverse set of co-workers

• Strong time management skills

• Excellent written & oral communication skills

• Excellent technical & business acumen

• Spanish-Speaking Preferred

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