Patient Eligibility Specialist Manager

Vista Community Clinic•Vista, CA

43d•$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. ✨ Benefits include:✅ Competitive compensation & benefits ✅ Medical, dental, vision✅ Company-paid life insurance ✅ Flexible spending accounts ✅ 403(b) retirement plan Why VCC? • 🏅 Winner of the 2025 HRSA Gold Medal for Outstanding Care, placing VCC among the top 10% of Federally Qualified Health Centers in the U.S. • Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for excellence in Preventive Health and Health IT. • A robust training & development culture to help you grow and advance your career. • A workplace built on respect, collaboration and passion for care.

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

Responsibilities

Primary duty consists of hiring, firing, promoting, training, evaluating 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
Serve as liaison and assist with collaborative support activities with community agencies, local government representatives, neighborhood residents and other Vista Community Clinic project staff
Perform direct services, as required
Work with community members to provide offsite enrollment assistance
Record and report any unusual occurrences or incidents; utilize the “variance report” correctly
Responsible for meeting program quotas and goals
Enhance professional growth and development through participation in educational programs, current literature review, in-service meetings and workshops
Support the vision, mission and goals, and demonstrate a commitment to the values, of the organization
Perform other duties as directed