Eligibility Specialist

About the role

Make a meaningful impact helping individuals and families access the healthcare coverage they deserve.

Schedule

Monday-Friday 8:00 am - 5:00 pm

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
• Absorb patients with enrollment in MO HealthNet, CHIP and other public health insurance options
• Absorb patients with appeals and hearings related to MO HealthNet, CHIP and other public health insurance options coverage issues
• Support patients in submitting requested documents for case processing
• Educate patients on utilization of their health insurance coverage, including how to maintain coverage, what is covered and how to coordinate care
• Absorb patients in removing incarceration lock-in’s, Child Support Sanctions, and third-party payers from Medicaid coverage
• Meet productivity expectations related to application numbers, paperwork error rates and answering shared phone queue calls
• Enter work into shared database timely as well as enter Medicaid screenings into EHRs

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