Jobs · OTHR · Missouri

Eligibility Specialist

Compass Health Network · Wentzville, MO · Yesterday
OTHRFull-time

Schedule

Monday-Friday, 8am-4:30pm

About the role

Helping individuals and families access healthcare coverage they deserve.

Key Responsibilities

  • Monitor uninsured health center patients annually to ensure they are screened for eligibility
  • Provide education to health center staff about insurance options so they can assist in educating their patients
  • Aid patients with enrollment in MO HealthNet, CHIP and other public health insurance options
  • Assist patients with appeals and hearings related to MO HealthNet, CHIP and other public health insurance options
  • Support patients in submitting requested documents for case processing
  • Education patients on utilization of their health insurance coverage, including how to maintain coverage, what is covered and how to coordinate care
  • Aid with submitting address updates
  • Support with Annual Renewal forms
  • Support patients in removing incarceration lock-in’s, Child Support Sanctions, and third-party payers from Medicaid coverage
  • Enter work into shared database timely as well as enter Medicaid screenings into EHRs
  • Support all departments within the organization with insurance eligibility and assist in confirming active patient coverage

Requirements, Skills, Knowledge And Expertise

  • High School/GED required
  • Bachelor’s degree preferred
  • Licensure/Certification:
    • State of Missouri Insurance Navigator’s licensure required within 6 months of hire
    • Federal Certified Application Counselor or Federal Navigator’s licensure required within 6 months of hire

What We’re Looking For

  • Enjoy public speaking and building rapport with diverse audiences
  • Bring a compassionate, strength-based approach to helping others
  • Be organized and comfortable working independently in the community
  • Have a natural curiosity for learning program updates and sharing knowledge with others
  • Be committed to reducing barriers to care and advancing wellness in underserved areas

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