Under general supervision, explains available programs/services to applicants and through a screening process provides enrollment services and/or application assistance based on applicants eligibility. Provides support and monitors to ensure standards are met and maintained.

Essential Duties (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations):
Interview applicants to obtain appropriate personal information and additional data needed for application/enrollment in various government-funded programs.
Verify information obtained to ensure accuracy and evaluate information to determine whether eligibility is met for available healthcare programs.
Enroll applicants in programs determined eligible for, including specialty funded programs.
Assist applicants with the completion of required applications/forms, including specialty funded programs.
Assess potential referral needs and direct applicants to services as needed, providing program information, benefits and services.
Maintain client files and enter accurate data into appropriate databases and/or software.
Participate in audits and reviews of eligibility determinations and client files.
Perform audits on internal eligibility records within department.
Serves as mentor in eligibility determining services.
Maintains up to date knowledge of regulatory compliance with State and Federal Programs.
Perform other duties as assigned.

ESSENTIAL FUNCTIONS/KEY COMPETENCIES
High level of skill at building relationships and providing excellent customer service.
Ability to utilize computers for data entry, research, and information retrieval.
Strong attention to detail and accuracy.
Excellent verbal and written communication skills.
Ability to work with a diverse client population.
Bilingual (English/Spanish) required.

Knowledge/Skills/Abilities:
Ensure courteous, effective customer service and that all efforts contribute to a positive client experience.
Ensure that all client inquiries and requests for assistance are addressed in a timely and professional manner.
Ensure that all documentation is in compliance with regulatory and financial compliance.
Develop and maintain positive working relationships with clients, co-workers, and related entities.
Maintain up-to-date knowledge of various programs and take the initiative to seek out additional information and
disseminate as needed.
Ensure all actions, job performance, personal conduct and communications represent CommUnityCare in a highly
professional manner at all times.
Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and
values of the organization.

MINIMUM EDUCATION: High school diploma or equivalent.
MINIMUM EXPERIENCE:
3 years of medical office or related experience. Further education in lieu of experience may be considered.
Basic knowledge of financial eligibility processes and standards.
Basic knowledge of applicable statues, ordinances and codes.
Basic knowledge of social service agencies and programs preferred.