Patient Eligibility Specialist

Vista Community Clinic•Vista, CA

5d•$22 - $23

About The Position

Vista Community Clinic (VCC) is a private, nonprofit, multispecialty outpatient clinic network serving patients across San Diego, Orange, Los Angeles, and Riverside counties. The Patient Eligibility Specialist assists patients with healthcare insurance enrollment and renewal, helping them complete eligibility and application packets and understand the documents and insurance options involved. The role also supports ongoing insurance maintenance, patient follow-up, reporting, and coordination among patients, insurance groups, and VCC. The position requires bilingual English/Spanish communication, a high school diploma or equivalent, and a valid California driver’s license, vehicle insurance, reliable transportation, and at least two years of driving experience. Certified Enrollment Counselor certification must be obtained within 60 days of hire and renewed annually. Pay is $22.00–$23.00 per hour, depending on experience.

Requirements

High school graduate or equivalent.
Obtain Certified Enrollment Counselor certification within 60 days of hire and renew it annually thereafter.
Valid California driver’s license and vehicle insurance, reliable transportation for meetings and reporting-related information gathering, and a minimum of two years’ driving experience.
Bilingual English/Spanish.
Knowledge of community health centers, public assistance programs, state and federal regulations, and managed care systems.
Effective verbal and written communication skills in English and Spanish with patients or clients, providers, and staff.
Ability to interact professionally with personnel at all levels and with people from varied social, cultural, and ethnic backgrounds, within the constraints of government-funded programs.
Strong interpersonal skills.
Excellent customer service skills and commitment to high customer satisfaction.
Ability and willingness to meet the organization’s attendance and dress code policies.
Ability to handle confidential materials and information professionally.
Familiarity with computers, business email, communication systems, and internet search capabilities; proficiency in Microsoft Office, specifically Word and Excel.

Nice To Haves

Covered California Certified Enrollment Counselor (CEC).

Responsibilities

Assist patients in completing eligibility and application packets for healthcare insurance enrollment or renewal.
Schedule appointments for patients.
Explain the documents required for the eligibility process and provide an overview of available healthcare insurance options.
Assign patients a primary care provider (PCP).
Reschedule patients who miss appointments.
Conduct follow-up and track patient insurance status; assist with reapplication.
Compile statistics and reports on patients assisted, application status, insurance retention, healthcare utilization, and other requested information.
Serve as a liaison among patients, healthcare insurance groups, and VCC regarding enrollment information and insurance maintenance.
Attend required trainings and meetings.
Support professional growth through educational programs, literature review, in-service meetings, and workshops.