Eligibility Screener

Open Health Care Clinic • Baton Rouge, LA

8h

About The Position

The Eligibility Screener is responsible for conducting verification screening and documentation collection for all clinic patients accessing services, including verifying eligibility for sliding fee discount program, Ryan White funded programs, Affordable Care Act (ACA), and Medicaid or Medicare.

Requirements

• High School Diploma.
• Five (5) years’ experience in insurance or Ryan White may be substituted.
• Proficiency in Windows, Microsoft Office, and typing skills are required.
• Excellent verbal, customer service, and written skills.
• Exceptional organizational skills.

Nice To Haves

• Bilingual Spanish/English preferred.

Responsibilities

• Satisfies Core Competencies
• Maintains effective communication between inter-agency providers to coordinate services.
• Maintains current awareness of community resources and public benefits available to clients.
• Handles confidential and sensitive client/patient information using HIPPA guidelines.
• Participates in performance improvement activities and initiatives on-going.
• Delivers culturally and linguistically competent customer service consistently.
• Screens patients for Medicaid, Medicare, ACA, and Sliding Fee Discount Program (SFDP) eligibility.
• Enrollment in Marketplace insurance.
• Completes SFDP applications for uninsured/underinsured patients annually
• Completes Medicaid applications for visitors and patients
• Conducts initial and annual eligibility screenings for new and existing Ryan White patients seen at OHCC.
• Pre-registration for all locations and providers. Includes call confirmations
• Portal registration
• Completes Louisiana Health Access Program (LAHAP) applications for clinic patients.
• Effectively coordinates and communicates with other staff regarding the status of eligibility for and access to services. Completes applicable forms and attaches to electronic record
• Completes required documentation in a timely manner.
• Maintains awareness of grant programs available to clinic patients.
• Verifies benefits for commercial and Medicare insurance plans prior to appointments
• Maintains current awareness of medication assistance programs to collaborate with service providers in the provision of HIV medications.
• Facilitates the completion of required documents for grant programs for access to services.
• Educating patients on benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED