• Eligibility Specialist

    Req No.
    2019-3924
    Company
    Central Health
    Job Locations
    US-Austin
    Category
    Administrative
    Type
    Regular Full-Time
  • Overview

    Under general supervision, refers, enrolls and/or assists customers in obtaining appropriate healthcare, and assists customers in resolving complex problems and complaints.

    Responsibilities

    • Interview applicants in a professional and courteous manner to obtain appropriate demographic and household information needed in order to screen clients for appropriate healthcare coverage programs
    • Accurately enter client data, and collect, verify and scan appropriate documents into the eligibility database according to Eligibility Policies and Procedures.
    • Accurately apply the Eligibility Policies and Procedures to determine client eligibility and enroll eligible clients into the appropriate local and grant programs.
    • Inform and educate clients on program benefits, in person, over the phone, or through email.
    • Pay attention to details
    • Perform other duties as assigned

    Knowledge/Skills/Abilities:
    • Adding, subtracting, multiplying or dividing quickly and correctly and to understand and organize a problem and then to select a mathematical method or formula to solve the problem
    • Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards
    • Work effectively with individuals from diverse backgrounds
    • Administrative and clerical procedures and systems such as word processing and data base systems, and other office procedures and terminology
    • Interviewing techniques and proper interviewing etiquette
    • Conflict resolution techniques
    • Analyzing information and evaluating results to choose the best solution
    • Knowing how to find information and identifying essential information
    • Communicating effectively in speaking and writing as indicated by the needs of the audience
    • Coordinating activities by adjusting actions in relation to others' actions
    • Being aware of others' reactions and understanding why they react the way they do
    • Performing basic operations in Microsoft Office Suite
    • Listening to what other people are saying and asking questions as appropriate
    • Actively looking for ways to help people and establishing and maintaining effective working relationships
    • Efficiently shift back and forth between two or more activities or sources of information
    • Correctly follow a given rule or set of rules in order to arrange things or actions in a certain order including procedures, orders or logical operations
    • Use deductive reasoning to apply general rules to specific problems to come up with logical answers and decide if an answer makes sense
    • Communicate information and ideas in speaking and writing so others will understand

     

    Qualifications

    MINIMUM EDUCATION: High School Diploma or equivalent

     

    PREFERRED EDUCATION: Bachelor’s Degree

     

    MINIMUM EXPERIENCE:
    • Three (3) years of related experience
    • Speak, read, and write Spanish fluently

     

    PREFERRED EXPERIENCE:
    • Experience assisting clients with applying for state or federal programs

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