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Are you a value-driven and compassionate individual that believes in providing quality care that has positive effect on our communities?
At Community Health Network, we are driven to create extraordinary experiences for our patients and employees. Our objective is to provide opportunities that develop and grow careers in a team-oriented environment focused on patient care
Job Summary :
The Patient Eligibility Specialist PES is dedicated to the Center’s mission to provide health care to all people without prejudice, in a caring manner, regardless of their ability to pay.
The vision of SFACHN is to be the leader in providing quality services and programs which meet or exceed the expectations of our patients.
The values of the Center are transparency, empathy, quality, and value.
The Patient Eligibility Specialist PES determines eligibility and performs various enrollment and disenrollment processes for Center’s approved programs (Title V, PHC / EPHC, Family Planning, etc.
aligning with policies guidelines to ensure compliance. The PES is responsible for reviewing applicants’ documents to verify their eligibility for qualifying for various organization programs and extended needs.
The PES is expected to perform tasks with greater difficulty and those of an escalated nature. This position requires a strong focus on member and client retention through accurate and timely resolution of issues.
The PES should be able to verify and assist in gap coverage for insured patients and will partner cross-functionally with various operational business units (dental, medical, behavior health, etc.
while supporting departmental objectives within company and regulatory guidelines.
Duties and Responsibilities :
Customer Service
Patient Navigation
Must attend training and get certified as a Medicaid / CHIP navigator through the Community Partner Program. Evaluates the Centers approved programs, and assure the Center adheres to all policies and changes to any procedures and performs training to staff on an as needed basis
Patient Eligibility
Collects all required documentation from patients and family to qualify to services and assures all documentation is properly imported into patient’s chart
Other duties as assigned
Required Skills / Abilities :
Bilingual in Spanish
Required Education and Experience :
Preferred Education and Experience :
None
Supervision Responsibilities :
None
Physical Requirements
Work Environment :
Putting Our Heart into Your Care"
MyCHN (Community Health Network) is a local healthcare provider dedicated to providing excellence in care and service. We currently operate in Brazoria, Harris, and Galveston counties.
MyCHN (Community Health Network) is a healthcare organization with 14 locations throughout the greater Houston area that offers multiple services for whole-person care.
Last updated : 2024-06-19
Full Time
$43k-54k (estimate)
06/21/2024
09/18/2024
The job skills required for Eligibility specialist include Customer Service, Problem Solving, Critical Thinking, Planning, Collaboration, etc. Having related job skills and expertise will give you an advantage when applying to be an Eligibility specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Eligibility specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Eligibility specialist positions, which can be used as a reference in future career path planning. As an Eligibility specialist, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Eligibility specialist. You can explore the career advancement for an Eligibility specialist below and select your interested title to get hiring information.