Eligibility Specialist

We are seeking a dedicated and detail-oriented Eligibility Specialist to join our team in. In this vital role, you will be responsible for determining client eligibility for various healthcare programs, ensuring compliance with Medicaid regulations, and facilitating access to essential services. Your expertise will help streamline the enrollment process, support underserved communities, and promote equitable healthcare access. This position offers an exciting opportunity to make a meaningful difference in the lives of individuals with diverse health needs, including those with mental health conditions and co-occurring disorders. If you thrive in a fast-paced environment and possess a passion for patient service and healthcare support, we want to hear from you! Duties Review and verify client documentation to establish eligibility for Medicaid and other health insurance programs Conduct thorough assessments of applicants’ medical and social histories, including hospital experience and behavioral health status Collaborate with case management teams, social workers, and healthcare providers to facilitate discharge planning and coordinate services Utilize electronic health records (EHR) systems for accurate data entry, documentation, and tracking of client information Maintain strict adherence to HIPAA regulations by safeguarding patient confidentiality during all interactions Communicate effectively with clients from diverse backgrounds, including bilingual populations, ensuring clear understanding of eligibility criteria and next steps Qualifications Proven experience working with individuals in healthcare settings, preferably with hospital or acute care experience Familiarity with electronic health records (EHR) or electronic medical records (EMR) management systems Excellent customer service skills combined with compassionate client communication abilities Ability to perform detailed data entry accurately while managing multiple priorities efficiently Knowledge of HIPAA compliance standards and maintaining patient confidentiality at all times Join us in delivering compassionate healthcare support by ensuring that every individual receives the benefits they need. Your dedication will help foster healthier communities through precise eligibility determinations and outstanding client service! #J-18808-Ljbffr