Be a part of our mission! We are hiring for a Part-time Eligibility Coordinator to join our Primary Care Clinic. We would love to hear from you! This is an amazing opportunity to join our team in providing quality care to families in our community.

Base schedule of 20 hours a week with the ability to flex up to 40 hours, based on department needs.

JOB SUMMARY

The Eligibility Coordinator performs patient intake and eligibility services for all clinic (medical, dental & behavioral health) and counseling services, and performs responsibilities with accuracy, professionalism and excellent customer service. All Eligibility Coordinators are cross-trained to support all departments within the clinic and provide back-up coverage as needed.

RESPONSIBILITIES

• Responsible for contacting insurance companies and navigating payer websites to obtain accurate status information of outstanding claims and inputs accurate information into the computer billing system.
• Resolve insurance eligibility denials through various methods such as website research, calling insurance companies to verify coverage and benefits or by contacting the facility and/or the patient.
• Assisting in identifying and resolving payer trends and issues related to eligibility denials and rejections.
• Assist patients in the enrollment of local, state, and federal programs
• Assist patients with scheduling appointments for clinic and counseling services.
• Research insurance eligibility via website or by calling the insurance company, patient, or hospital in order to resolve eligibility denials/rejections in a timely and accurate manner.
• Correct and repost claims as requested by billing department with correct patient information.
• Responsible for submitting corrected claims to appropriate payers in a timely manner if needed.
• Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care and other payers.
• Maintains ongoing knowledge of Health Resources Services Administrative (HRSA) and other mandatory state billing forms and filling and follow up requirements and ensures compliance and adherence to guidelines.
• Responsible for all daily productivity reporting requirements.
• Performs administrative functions and general office duties as assigned.
• Maintains and exceeds department standards for productivity and quality.
• Maintains confidentiality in accordance with HIPAA.
• Participates in outreach community events to engage and enroll patients.
• Other duties as assigned

REQUIREMENTS

• 1 year related experience with working knowledge of insurance coverages, eligibility, verifications, medical billing guidelines and navigating payer websites.
• High School Diploma required. College degree preferred.
• Excellent customer service, communication and interpersonal skills, with the ability to effectively interact with patients, healthcare providers, insurance representatives and others.
• Cultural sensitivity and demonstrated ability to work with diverse people groups.
• Commitment to the mission and values of Davis Street.

ABOUT US

We are committed to helping low-income families of San Leandro and surrounding communities by providing a variety of comprehensive services. Davis Street programs include a FQHC Primary Care Clinic providing medical, dental and behavioral health services; food and clothing pantry; subsidized child care; childcare centers; and programs for individuals with development disabilities.

Job Type: Part-time

Pay: $26.00 - $27.00 per hour

Expected hours: No less than 20 per week

Benefits:

• 403(b)
• 403(b) matching
• Employee assistance program
• Paid sick time
• Paid time off

Schedule:

• Monday to Friday

Work setting:

• Clinic
• In-person

Work Location: In person