Eligibility Specialist

Eligibility Specialist

Make a meaningful impact helping individuals and families access the healthcare coverage they deserve.

As an Eligibility Specialist, you'll be a trusted resource in our rural communities — supporting patients and community members in understanding health insurance options and enrolling in coverage that helps them stay well. You'll provide education at our centers and out in the community, ensuring individuals have the knowledge and confidence to use their benefits to live healthier lives.

This is a great opportunity for someone who is passionate about connecting people with care, enjoys engaging with the community, and thrives in a role that blends outreach, education, and direct support.

Key Responsibilities

• Monitor uninsured health center patients annually to ensure they are screened for eligibility

• Provide education to health center staff about insurance options so they can assist in educating their patients

• Assist patients with enrollment in MO HealthNet, CHIP and other public health insurance options

• Assist patients with appeals and hearings related to MO HealthNet, CHIP and other public health insurance options coverage issues

• Support patients in submitting requested documents for case processing

• Educate patients on utilization of their health insurance coverage, including how to maintain coverage, what is covered and how to coordinate care

• Assist with submitting address updates

• Complete all required trainings, participate in all meetings assigned, complete all required reporting

• Assist with Annual Renewal forms

• Support patients in removing incarceration lock-ins, Child Support Sanctions, and third-party payers from Medicaid coverage

• Meet productivity expectations related to application numbers, paperwork error rates and answering shared phone queue calls

• Enter work into shared database timely as well as enter Medicaid screenings into EHRs

• Support all departments within the organization with insurance eligibility and assist in confirming active patient coverage

Requirements, Skills, Knowledge and Expertise

• High School/GED required

• Bachelor's degree preferred

Licensure/Certification

• State of Missouri Insurance Navigator's licensure required within 6 months of hire

• Federal Certified Application Counselor or Federal Navigator's licensure required within 6 months of hire

You'll be a great fit for this role if you:

• Enjoy public speaking and building rapport with diverse audiences
• Bring a compassionate, strength-based approach to helping others
• Are organized and comfortable working independently in the community
• Have a natural curiosity for learning program updates and sharing knowledge with others
• Are committed to reducing barriers to care and advancing wellness in underserved areas

About Compass Health Network

Compass Health Network is a nonprofit organization dedicated to delivering accessible, high-quality care throughout Missouri. We provide a comprehensive range of integrated services, including behavioral health, substance use treatment, primary care, and dental care. As both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC), Compass Health is uniquely positioned to meet the complex and evolving needs of the communities we serve. Our network includes

Royal Oaks Hospital and Adapt of Missouri, allowing us to expand our impact and reach across the state. Each part of our organization contributes to our mission: Inspire Hope. Promote Wellness.

Adapt of Missouri, a subsidiary of Compass Health Network, has been serving the St. Louis metropolitan area since 1982. While Adapt operates as a for-profit organization, it shares our commitment to providing high-quality, person-centered mental health services. Adapt specializes in community-based support for adults with mental health conditions, focusing on recovery-oriented services such as psychosocial rehabilitation and case management that foster independence and meaningful community engagement.

Royal Oaks Hospital serves all acute behavioral health care inpatient needs for children and adolescents 24 hours a day, 7 days a week. Our multi-disciplinary team continually strives to set the standards in patient safety and are committed to providing the highest quality of care. Royal Oaks Hospital believes in the health and wellbeing of our patients and it shows in the care they receive each and every day.

Why Join Us?

Whether you're joining Compass Health Network or Adapt of Missouri, you'll become part of a dedicated, mission-driven team committed to transforming lives through compassionate, innovative care. We foster a supportive, collaborative environment where your work is valued and your professional growth is encouraged. We offer:

• Competitive Benefits
• Opportunities for career advancement
• Personal and professional development
• Licensure supervision
• Tuition reimbursement & scholarships
• Employee Assistance Program (EAP)
• Wellness program with Xponential access
• Generous paid time off and holidays
• National Health Service Corp loan repayment eligibility*

*Please note: While Compass Health Network is eligible for the National Health Service Corps (NHSC) Loan Repayment Program, positions with Adapt of Missouri are not eligible due to its for-profit status.

Your Career, Your Impact Whether you're beginning your career or looking to take the next step, you'll find purpose and opportunity with us. Join a team where your skills and compassion make a meaningful impact—every single day.

Ready to make a difference? We'd love to hear from you! Equal Opportunity Statement Compass Health Network is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.

Our Hiring Process

Stage 5: Offer of Employment

Stage 6: Background Screening

Stage 7: Hired

Stage 1: Applied

Stage 2: Review

Stage 3: Electronic Application

Stage 4: Interview

Stage 5: Offer of Employment

Stage 6: Background Screening

Stage 7: Hired

Stage 1: Applied

Stage 2: Review

Stage 3: Electronic Application

Stage 4: Interview

Stage 5: Offer of Employment

Stage 6: Background Screening

Stage 7: Hired

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