Patient Eligibility Specialist Manager

Vista Community Clinic•Vista, CA

7d•$78,000 - $82,000

About The Position

At Vista Community Clinic (VCC) , we believe healthcare is more than medicine, it’s about hope, community, and impact. For over 50 years, we’ve been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it’s needed most. As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees.

Requirements

Associate’s degree in a related field
Certified Enrollment Counselor must be obtained within 60 days of hire and annually thereafter
Minimum of five years’ related experience
Bilingual English/Spanish
Valid California driver’s license and vehicle insurance; reliable transportation, to travel for meetings and/or to gather information for reporting purposes; minimum two years’ driving experience; no more than 2 violations or a single ticket/accident value at more than 1 point on driving record
Ability and willingness to work flexible hours, including evenings and weekends, as required
Ability to track and manage time and budgets effectively
Ability to plan and facilitate internal and community meetings
Strong verbal and written skills necessary for communication with patients/clients, clinicians and other staff
Ability to interface with all levels of personnel in a professional manner, including people of all social, cultural and ethnic backgrounds and within the constraints of government funded programs
Ability and willingness to meet the organization’s attendance and dress code policies
Ability to handle confidential materials and information in a professional manner
Excellent customer service skills and commitment to providing the highest level of customer satisfaction
Experience/familiarity with computers, business e-mail, communication systems and internet search capabilities; proficient in Microsoft Office products, specifically Word and Excel

Nice To Haves

Bachelor’s degree with one year of related experience

Responsibilities

Assist patient in completing eligibility and application packets for healthcare insurance enrollment or renewal.
Primary duty consists of hiring, promoting, training, evaluation, termination and/or directing the work of designated staff
Provide oversight of administration and implementation of project work plan and budgets
Provide supervision for project staff as required
Organize education activities to reach patients and their families about health insurance options and eligibility
Supervise and enroll patients into health coverage plans by screening for eligibility, gathering required documentation, expediting approvals and assisting with post-enrollment customer service as needed
Manage the Patient Benefit Counselor (PBC) appointment schedule
Assist staff with any questions, concerns, necessary revisions to information, etc., for patients
Maintain and report accurate daily/weekly/monthly/quarterly statistical records to track individual productivity as required by VCC
Strictly adhere to state and federal regulations and policies regarding enrollment practices for insurance and managed care products
Maintain adequate volume of education materials
Work to create a positive working relationship with staff and patients
Provide training and instruction to retain staff and continue growth of patient volume at the clinic
Provide informational materials to potential enrollees/staff; answer questions related to programs and invite or direct enrollees/staff to other education opportunities (as applicable)
Maintain and manage daily clinic/department needs and expectations
Follow all clinic/department policies and procedures’ implementation on a consistent and varying basis dependent on clinic goals
Provide other communication content such as letters and forms
Responsible for budget tracking/fiscal accounting and assuring that program expenses are allowable within contract terms
Responsible for recommending and generating budget revisions and justifications
Responsible for internal and external program reporting, such as progress and final reports.
Oversees completion of program objectives and recommends changes in scope as needed or appropriate
Assure completion of evaluation process
Attend and facilitate meetings, as required