Intake / Eligibility Specialist, Healthcare Services, (1549)

Overview At Catholic Charities of the Archdiocese of Washington, your knowledge and service in areas such as immigrants and refugees, mental health, social work, employment and adult education, legal and financial services, health care, food assistance, shelter and housing, developmental disabilities and prison outreach can make a profound difference in the lives of many. Through more than 50 programs across the district and five surrounding counties, Catholic Charities is opening doors to help and hope. We offer careers and a culture that promotes from within, professional development, a comprehensive benefits package, and a passion for building high performing teams. Explore your career opportunity with Catholic Charities. Join us in Inspiring Hope and Building Futures. Job Summary The Intake/Eligibility Specialist of the Catholic Charities Health Care Network (CCHCN) reviews and approves specialty eligibility applications and provides feedback to all primary care clinic staff regarding the eligibility screening and approval process. Responsibilities Act as the primary contact for the program’s eligibility process with clinic staff. Approve applications and maintain individual program eligibility in the system. On the first day of each month, reports on the number of eligibilities screened, approved or denied. Review specialty eligibility applications in Community Health Link Cares (CHLC) to ensure completeness and clarity of information submitted. Communicate documentation discrepancies and follow up with patients to submit appropriate proof of documents within 10 business days (two weeks). Maintain confidential patients’ records for the program. Respond to incoming calls, provide information about the eligibility process, and refer any eligibility inquiries accordingly. Act as an advocate for patients needing additional information, support, or services. Discuss any problems related to the eligibility process with the Program Manager or Nurse Case Manager to resolve problems. Teach CHL class every 1st month of the quarter. Ensure clinics and patients understand the range of services offered (e.g., sliding fee scale, Patient Agreement and Privacy Rights). Maintain and promote a positive image of CCHCN to existing and potential clients. Participate in Quality Improvement projects. Collect data and provide suggestions. Generate ideas for improvement and participate in their testing and implementation when required. Incorporate the resulting guidelines from the quality improvement initiatives and process into job duties. Update primary care clinic information data. Perform Facility Emergency Response Coordinator (FERC) duties to ensure compliance with safety protocols. Conduct fire drills on a monthly or quarterly basis to prepare the staff for emergency situations. Perform monthly building inspections to identify potential hazards and ensure adherence to safety regulations. Report any facilities-related issues promptly to maintain a safe working environment. Maintain organized and easily accessible documentation of FERC tasks performed to support compliance and safety audits. Perform other job-related duties as assigned. Education and Experience High school diploma or associate degree. One year experience working with low-income, uninsured, and ethnically diverse populations preferably in a health care setting/organization. Skills and Competencies Bilingual English/Spanish. Knowledge of computer systems (MS Office System), including Excel and Outlook. Ability to communicate and work effectively with a broad range of collaborators including clients, clinicians, hospitals and others. Benefits Package Robust Professional development and training opportunities Medical, prescriptions, dental and vision insurance Retirement savings plan with company match Company-paid and supplemental life insurance Short Term/ Long Term disability Group Life Insurance and AD&D Other Volunteer Insurance Benefits Flexible spending accounts Paid vacation, sick and personal leave 11 paid holidays Tuition reimbursement Employee referral bonus program Parenting leave Pet’s Insurance Work Schedule Mondays and Thursdays, 8:00 AM - 8:00 PM; Tuesdays and Wednesdays, 8:00 AM - 5:00 PM #J-18808-Ljbffr