Eligibility Support Specialist

POSITION TITLE: Eligibility Support Specialist

LOCATION: HOPE Clinic

REPORTS TO: Eligibility Support Team Lead (Main) & Site Manager (Alief, West & Aldine satellite sites)

EDUCATION: High School diploma or GED; Associates degree preferred.

WORK EXPERIENCE: 2 years or more in healthcare

SALARY RANGE: $14.50-$15.00/hour

FLSA STATUS: Hourly – Non-Exempt

POSITION TYPE: Full-Time

LANGUAGE REQUIRED: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is required

HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

JOB SUMMARY:

Under general supervision, the Eligibility Support Specialist will verify patient eligibility and assist in health program applications to the patients of Asian American Health Coalition of the Greater Houston Area (AAHC) DBA HOPE Clinic. Maintains all patient information and documents while providing high quality customer care services to patients.

MAJOR DUTIES & RESPONSIBILITIES:

• Determine patient eligibility information and qualifications;
• Assist patients in enrollment and re-enrollment of Medicaid, Affordable Care Act (ACA), and other state and federal programs;
• Service and respond to customer and patient questions, issues and/or concerns;
• Securely and accurately document all patient information;
• Interpret dictation and respond accordingly;
• Ensure timely submission of paperwork and reports;
• Maintain and update HOPE Clinic sliding fee scale information and forms;
• Verify patient insurance and information is acceptable by partnering institutions;
• Make certain that our patients get the best possible care;
• All satellite sites’ Eligibility Support Specialist will also perform Patient Support Specialist duties as needed (greet and assist patients with registrations, check patients in/out, answering phone and scheduling, etc.);
• Attend on-site/off-site community engagement activities and on-site/off-site clinic events as needed;
• Performs other duties as assigned to support HOPE Clinic’s Mission, Vision, and Values.

QUALIFICATION REQUIREMENTS:

• Knowledge of and experience in developing, implementing and working in a community outreach program;
• Knowledge of existing social service programs available in Houston area and Harris County;
• Is knowledgeable of and maintains HIPAA standards of privacy and confidentiality;
• Proficient in use of computers and software programs such as Word, Excel;
• Must be able to utilize the Internet;
• Strong written and oral communication skills;
• Must be detailed oriented and able to handle multi tasks;
• Must be fully vaccinated against COVID-19.

EDUCATION and/or EXPERIENCE:

High School diploma or GED is required; Associate degree preferred. Minimum of one year in health education, patient navigation, customer service, and/or health clinic patient assistance field.

OTHER SKILLS and ABILITIES:

• Bilingual (Vietnamese, Chinese, Arabic and/or Spanish with English) is required;
• Above average skills in language ability as well as public speaking and writing;
• Must have good transportation and a valid Texas Driver’s license;
• Must know Microsoft Office and basic office equipment (e.g., computer, copier);
• Attention to detail;
• Adequate communication skills;
• Satisfactory customer service skills;
• Must be able to handle multiple tasks, complexity, and diversity of customers;
• Insurance and medical experience preferred.