Eligibility Specialist $24.04

Access To Healthcare Network • Las Vegas, NV

1d • $24 • Onsite

About The Position

The Eligibility Specialist supports improved health outcomes for people living with HIV/AIDS by determining eligibility for Ryan White services, helping clients access public and private assistance programs, and identifying payer sources for the AIDS Drug Assistance Program (ADAP).

Requirements

• High school diploma
• Bilingual English/Spanish
• 1 year of healthcare-related social work experience
• 2 years of experience with databases and Microsoft Office

Nice To Haves

• AA degree
• Community Health Worker Certification (within 1 year; agency-funded)
• Exchange Enrollment Facilitator License (within 90 days; agency-funded)
• Experience with CAREWare and Salesforce
• Preferably knowledgeable in Medicaid, Medicare A/B, Nevada Check-Up, and prescription programs

Responsibilities

• Conduct eligibility screenings for Ryan White services and prescreen clients for the HIP program.
• Assist clients with applications, including Liberty Dental enrollment.
• Support clients in accessing medication and treatment needed for viral suppression.
• Refer clients to case management for medical and supportive services.
• Maintain professionalism, compassion, and confidentiality at all times (HIPAA‑compliant).
• Build and maintain effective working relationships with AHN providers, members, community partners, and funders.
• Communicate professionally with staff and partner agencies.
• Schedule appointments, maintain spreadsheets, and track ADAP payer sources.
• Enter and upload eligibility applications in CAREWare and RWISE.
• Complete pharmacy benefit manager data entry for ADAP services.
• Assist clients with health insurance premiums, copays, deductibles, and tax‑related support programs.
• Adjust to changing work needs and perform duties as assigned.
• Attend required meetings and maintain compliance with all organizational policies.

Benefits

• Medical Insurance & Vision provided at no cost to the Employee
• Health Savings Account HDHP (HSA) includes employer matching $35.00 per month
• Dependent Care Flexible Savings Account (FSA)
• Low-cost health insurance options for your dependents
• Prescription drug insurance
• Dental insurance
• Free Life Insurance and Long-Term Disability
• Voluntary Ancillary Benefits
• 4 Weeks Paid Time off in your first year
• WFH Options
• 14 Holidays
• Bereavement Leave
• 4 weeks Paid parental leave
• Tuition Assistance and more!

What This Job Offers

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