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Eligibility Specialist - Bilingual Spanish

Posted: September 14, 2023
Salary:Up to US$17 per hour
Job type: Contract
Discipline:Revenue Cycle
Work Location:On-site

Job description

Full time opportunity with a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests, HIV/AIDS screening. We empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information.

Our roots began in 1981 as the Montrose Clinic, with specialization in HIV education, testing, and treatment. Since then, the agency has expanded to >50 clinics in Houston, one in Baytown, 3 in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health. We also service students within KIPP and YES Prep schools. We are committed to driving healthy change in our communities.

Job Functions:

Will be meeting with patients via zoom (about 8 patients per day, one hour long meeting) and getting them enrolled in Obamacare in marketplace. Open enrollment starts in Nov so needing to ramp up the team to tackle the patient volume increase. ** We provide 6 weeks of onsite training to get prepped**

  • Conduct eligibility for clients following procedures and guidelines specific to each program.
  • Ensure that clients do not have another payer source such as Medicaid, Medicare, ADAP, and any other third party insurance.
  • Register clients into the CPCDMS.
  • Complete all necessary paperwork.
  • Performs data entry of eligible clients into electronic system.
  • Maintains up-to-date and orderly eligibility files.
  • Conducts renewal eligibility as required by each program.
  • Confirms eligibility appointments with clients.
  • Sets initial service appointments once eligibility has been determined.
  • Provides clients with list of required eligibility documentation.
  • Participates in the Performance Improvement Program.
  • Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.
  • Promotes effective working relations and works effectively as part of a team to facilitate the department's ability to meet its goals and objectives.
  • Attends all required safety training programs and can describe responsibilities related to general safety, department/service safety, specific job-related hazards.
  • Attends all required safety education programs.
  • Operates assigned equipment and performs all procedures in a safe manner as instructed.
  • Maintains work area and equipment in condition required by Legacy standards.
  • Demonstrates proper body mechanics in all functions.
  • Checks on the patient's environment and equipment to insure safety. Reports safety concerns promptly to appropriate personnel.
  • Follows Legacy's exposure control plans/blood borne and airborne pathogens.
  • Demonstrates knowledge of techniques, procedures and correct use of protective barrier equipment (Universal Precautions).
  • Assures a safe environment by instituting appropriate control measures.
  • Attends annual education programs