Purpose The Eligibility Specialist will enroll uninsured patients into insurance and resource programs for which they are eligible. In this role, they will maximize enrollment into programs in which Neighborcare is a provider, verify and record uninsured patient's family size and income, and place them on the sliding fee scale if appropriate.The Eligibility Specialist will work in partnership and joint accountability with other team members to achieve Neighborcare's Mission and Guiding Principles and goals. Neighborcare Health offers a robust benefit package including Health, Wellness & Retirement benefits: Medical, Dental & Vision Insurance, 18+ days of Paid Time Off, 9-Paid Holidays, Retirement with Matching, Life & AD&D, Pet Insurance, Employee Assistance Program, & More! This position is eligible for the Staff Referral Program In this position you will:
- Conduct in-depth interviews with applicants to determine eligibility for various programs including the Neighborcare Health sliding fee scale; interpret rules and regulations and explain rights and responsibilities of clients; gather, organize and document large amounts of information.
- Solicit and verify pertinent eligibility information, i.e. residence, citizenship, family size, income and other financial resources; assist applicants in obtaining information, resolving discrepancies, and completing applications.
- Determine initial and renewal eligibility for public sponsored assistance in accordance with established policies and procedures; complete data entry, research policies and rules to obtain answers to questions around applicant's or client's eligibility.
- Maintain working knowledge of a variety of health plans by attending trainings and meetings, and conveying the options to clients.
- Collaborate with Front Desk staff, call center and Insurance Verification Team to identify and meet with uninsured patients likely to qualify for insurance coverage.
- Assist insured patients with completing renewals and adding changes to their plans ensuring they are eligible to be seen by Neighborcare providers.Refer clients to necessary resources in order to complete the application.
- Maintain a system for tracking the progress and outcomes of applications, as well as client records, statistical data, and other information as needed.Assist patients with changes to their plans and/or refer them to necessary resources in order to complete applications for services of which they may qualify.
Required qualifications:
- High school diploma or equivalent. Related work/volunteer experience may be substituted for education.
- WA Affordable Care Act Navigator certification (within the first three months of employment). Complete quarterly requirements/evaluations and maintain certification. Stay current on Public Insurance/benefits/programs by attending on-site/off-site trainings and meetings.
- Ability to travel to Seattle Clinics
- Valid Driver's license and Automobile Insurance
Preferred qualifications:
- 2-years outreach and enrollment experience.
Our MissionThe mission of Neighborcare Health is to provide comprehensive health care to families and individuals who have difficulty accessing care; respond with sensitivity to the needs of our culturally diverse patients; and advocate and work with others to improve the overall health status of the communities we serve. About our Service CommitmentsOur service commitments were created by staff members, leaders, board members and patients.We use these as a guide and expectation for how we treat our patients and each other.You may learn more about our service commitments here,
- Serving patients
- Serving each other
- A warm welcome
- Caring
- Respect
- Working together
- Trusting Relationship
About usFor 50 years, Neighborcare Health has been caring for our neighbors with essential medical and dental care, counseling, outreach, health education and more in Seattle, Vashon, and our newest dental clinic in Olympia!Our purpose is to improve health by engaging, educating, and empowering people in the communities we serve.We are looking to hire the best talent to support our culturally diverse workplace and community. Compensation
- The wage range for this position is minimum $20.40 up to $28.30 maximum.
- Compensation will be determined based on years of relevant experience.
Union:Yes Full job description will be provided during the interview process. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)