Eligibility Coordinator

Davis Street Community Center•San Leandro, CA

6d•$26 - $27•Onsite

About The Position

Davis Street is seeking an APP Eligibility Intake Coordinator / Front Office team member to provide patient intake, eligibility verification, appointment support, and insurance coordination. This position interacts with a variety of patients, insurance companies, clinical staff, and external partners to ensure patients are informed of their insurance coverage, co-pays, deductibles, sliding fee eligibility, and other financial responsibilities before services are provided.

Requirements

High school diploma required
Minimum of 1 year of related experience with insurance coverage, eligibility verification, medical billing guidelines, and payer website navigation.
Strong understanding of medical terminology.
Excellent customer service, communication, and interpersonal skills.
Ability to work with diverse populations in a culturally sensitive manner.
Detail-oriented, organized, and able to maintain accurate records in a fast-paced environment.
Strong problem-solving skills and ability to work independently and collaboratively.
Commitment to the mission and values of Davis Street.

Nice To Haves

college degree preferred
Bilingual in Spanish preferred

Responsibilities

Perform patient intake, eligibility verification, and documentation for clinic and counseling services.
Explain insurance coverage, co-pays, deductibles, Sliding Fee eligibility, and other financial responsibilities to patients.
Complete all required verifications before appointments are scheduled and services are provided.
Check in patients and schedule or cancel appointments as needed.
Assist patients with enrollment in local, state, and federal programs.
Communicate with insurance companies and payer websites to verify eligibility, claims status, referrals, and authorizations.
Research and resolve eligibility denials, claim rejections, and payer-related issues.
Maintain accurate patient records, eligibility information, referrals, and authorization documentation.
Provide weekly intake and referral activity reports to the Claims Supervisor.
Communicate with patients, staff, providers, insurance companies, and external facilities to provide timely and accurate information.
Provide excellent customer service to patients and clinical staff regarding insurance coverage and eligibility questions.
Participate in outreach events, staff trainings, meetings, and other administrative support duties as assigned.
Maintain confidentiality in accordance with HIPAA.
Perform other duties as assigned.