Eligibility Specialist-Glendale

Brief Description

The Eligibility Specialist screens and assists with the application process for federal and state medical assistance programs, Mountain Park Health Center (MPHC) discount program, and other related programs. This position plays a crucial role in ensuring that individuals are screened for eligibility to receive appropriate healthcare services, meet the criteria for these programs, and maintain compliance with established guidelines.

Essential Duties And Responsibilities

• Counsels patients on available health benefits using a solution-oriented approach.
• Verifies patient eligibility for various healthcare programs by gathering, reviewing, and updating personal and financial information.
• Prepares and submits applications for medical assistance programs such as MPHC Sliding Fee, AHCCCS (State Medicaid), Supplemental Nutrition Assistance Program (SNAP), and the Health Insurance Marketplace.
• Maintains strict program compliance by producing high-quality, audit-ready work that meets internal and external regulatory standards.
• Maintains regular and predictable attendance.

Position Qualifications

• Minimum Qualifications: Associate degree in Liberal Arts, Human Services, or Business, and two (2) years of experience in eligibility services, benefit qualification enrollment assessment, direct customer services, and application processing; or Four (4) years of experience in eligibility services, benefit qualification enrollment assessment, direct customer services, and application processing.
• Preferred Qualifications: Experience in insurance verification and eligibility services.