Eligibility Manager

Womencare Inc.•Teays Valley, WV

9d•Onsite

About The Position

FamilyCare Health Centers is looking for an Eligibility and Enrollment Manager based in our Teays Valley location. This role involves managing the Eligibility Enrollment Specialist and providing screening and eligibility assistance to FamilyCare patients and the community. The position requires a High School Graduate or equivalent, excellent verbal skills, the ability to work with diverse populations, strong organizational skills, and basic knowledge of computers and medical terminology.

Requirements

High School Graduate or equivalent
Excellent verbal skills
Ability to work with a variety of people of various backgrounds
Organizational skills essential
Basic knowledge of computer and medical terminology necessary

Responsibilities

Manage and assist the Certified Application Counselors with CAP/SFS, screenings for Marketplace, Medicaid, Medicare, phone calls, and events.
Screen and assist patients with enrollment into available programs including; Sliding Fee (SFS), Community Access Program (CAP), Children's Health Insurance Program (CHIP), Medicaid/Medicare, and The Marketplace.
Identify other patient and family needs, such as where and how to obtain eye glasses, dental treatment, clothing, housing, and various educational programs.
Maintain a close working relationship with Department of Health and Human Resources (DHHR) and other community organizations.
Distribute information and materials regarding services to community and local business.
Participate in events, health fairs, and other activities as a representative of FamilyCare as needed.
Track and maintain current income and program requirements needed to determine eligibility for services.
Provide statistics and enrollment data, as needed.
Report on tracking to the Primary Care Association and Director of FamilyCare.
Deliver completed forms to DHHR and other agencies in timely manner.
Follow-up and meet with patients to clarify and assist them with the completion of applications.
Make calls to patients on Medicare to see if we can get them enrolled with Medicaid as a secondary insurance to absorb some of the cost.
Assist patients when applying through the Marketplace. If it is a Special Enrollment Period, assist the patient with proper documentation to validate the SEP and upload or provide correct mailing information.
Call those patients who have recently lost their Medicaid or insurance to assist them with getting re-enrolled.
Make calls to the Medication-Assisted Treatment Program patients to see if they are eligible for Medicaid enrollment.
Call uninsured patients to let them know about the assistance programs that are offered at FamilyCare.