Eligibility Specialist
Job Location:
Job Location:
Weldon Spring, MO - USA
Monthly Salary:
Not Disclosed
Monthly Salary:
Posted on:
2 days ago
Posted on:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Make a meaningful impact helping individuals and families access the healthcare coverage they deserve.
Schedule: Mon-Fri 8a-4:30p
Schedule: Mon-Fri 8a-4:30p
As an Eligibility Specialist youll 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. Youll 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
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
Bachelors degree preferred
Licensure/Certification
State of Missouri Insurance Navigators licensure required within 6 months of hire
Federal Certified Application Counselor or Federal Navigators licensure required within 6 months of hire
Youll be a great fit for this role if you:
Bachelors degree preferred
Licensure/Certification
State of Missouri Insurance Navigators licensure required within 6 months of hire
Federal Certified Application Counselor or Federal Navigators licensure required within 6 months of hire
Youll 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
IND2
Required Experience:
IC
About Company
Inspire Hope. Promote Wellness. CALL FOR AN APPOINTMENT: 844-853-8937 (TOLL FREE) BEHAVIORAL HEALTH CRISIS CENTERS: 833-356-2427 (TOLL FREE) BEHAVIORAL HEALTH CRISIS LINE: 988 Through compassionate, high-quality care, we guide individuals on their journey toward improved physical and ... View more
