Eligibility Specialist (Midtown) - Avenue 360
Houston, TX
About the Job
Our Compensation Package Includes:
- Generous Paid Time Off- (11 paid holidays per year, 2 Floating Holidays per year, 14 paid Vacation days per year, 4 hours per month of accrued Sick days)
- Medical, Dental, and Vision
- 401K match up to 4%
- Company paid Life Insurance
- Company paid Short Term and Long-Term Disability
- Employee Assistance Program
Overview:
Works inFederallyQualified Health Center. Providesadmissions and eligibility services toAvenue 360 Health and Wellnessclienteletomaximize all available resources to each client and/or family member.The eligibilityworker is one of threemembersof the practice management teamandmay be expected to substitute and performpatient facingduties as assigned. This position reports to the practice manager and adheres to all agency policies and procedures.
Duties and Responsibilities:
- Performs admissions and eligibility processes (intake, reassessments, etc.) to ensure appropriate placement of clients within Avenue 360 Health and Wellness internal continuum of care including but not limited to medical, dental, and behavioral health.
- Screens and assesses individual and family client needs, which form the basis for the client’s service or treatment plan.
- Performs insurance coverage and grant eligibility verifications by making field calls or using other verification tools.
- Assists Avenue 360 Health and Wellness clients in completing applications for mainstream services including making appropriate referrals for such services as well as referral follow up.
- Updates client demographic information and financial information/documentation at each visit or when the client’s situation changes to ensure on-going service eligibility and compliance with all local, state, and federal regulations.
- Able to perform front desk functions including but not exclusive to scheduling, greeting (arrival and check-in and answering phone calls), and time of service collections.
- Documents all services in the electronic health record and practice management systems.
- Participates in quality management and quality assurance activities.
- Other tasks as assigned.
Education, Experience, Licensure/CertificationandSkills/AbilitiesRelated Requirements:
A High School Diploma or Equivalent.
Excellent written and verbal communications skills.
Excellent interpersonal skillsandadherence to agency mission and values.
Excellent customer service skillswitha compassionand kindness for community at large.
Knowledge ofsocial service community resources (e.g.,food supplement,primary care safety-net,HIV/AIDS, Homeless, and Mental Health/Substance Abuse).
Language: Bilingual (English and Spanish) preferred.
Continuing Educationand TrainingRequirements:
Participates intrainingsrequired by the funding source.