基督教角聲醫療中心

Herald Christian Health Center

Job Posting for Eligibility Specialist

Do you want a career and not just another job? We are looking for good people who want a career. HHCH, a community health center in Rosemead, is actively searching for an eligibility specialist to join our team.

HCHC provides medical, dental and behavioral services to the low-income community in our service area, the San Gabriel Valley and San Diego. We prefer candidates with prior health care experience, but we require good customer service and employee relations skills.

Under the direct supervision of the Eligibility Service Supervisor, the Eligibility Specialist will conduct eligibility screening activities and provide enrollment assistance to customers to enroll in government and/or health care marketplace programs, to provide advocacy services and education to the community regarding government health care programs.

• Essential Functions

A. Duties and Responsibilities

• Provide one-to-one education regarding available government and privately-sponsored health insurance programs to potentially eligible patients.
• Assist qualified patients to enroll in programs such as CoveredCA, My Health LA, Medi-Cal, BCCTP, EWC, and CHDP, but also retain and utilize their healthcare coverage successfully.
• Serve as liaison between patients and health insurance programs to support the completion of documentation, and provision of the necessary information.
• Assist patients in the utilization of health care benefits, navigation of managed care system, provide assistance accessing services, change PCP, and complete annual re-determination forms.
• Conduct follow-up contacts with patients to ensure successful completion of enrollment process, and of enrollment maintenance.
• Maintain current knowledge of insurance terminology such as benefits, co-pays, health plan network –and disseminate information regarding any changes.
• Worked closely with the Front Desk Receptionist to resolve patients’ insurance issues.
• Conduct outreach events for Covered CA related topics in the community using English/Cantonese/Mandarin.
• Track enrollment progress and general data reports.
• Other duties as assigned.

B. Staff Development

• Attend staff/department and external agency meetings.
• Participate in staff training as arranged by the corporation.

III. Organization Expectation

• Adheres to all HCHC’s Policies and Procedures.
• Conducts self in a manner that represents HCHC’s core values at all times.
• Maintains a positive, respectful and professional attitude with all work-related contacts.
• Communicates regularly with the staff about work concerns.
• Meets productivity standards and performs duties as workload necessitates.

IV. Education/License/Certification:

Must obtain CEC certification( will provide training)

V. Skills and Specifications:

• Fluent in English and Cantonese/Mandarin/Vietnamese/Spanish Preferred.
• Knowledge of public health principles/practices and different programs preferred.
• Excellent interpersonal and written communication skills required; ability to relate and communicate well with a diverse patient population.
• Ability to demonstrate strong organization skills, detailed-oriented, ability to multi-task. Must be able to work well in a fast-paced and customer-driven environment.
• Flexibility with work schedules and sites required.
• Ability to work individually and within a team setting.
• Proficient in operating a PC based computer system and basic office software.
• Current California driver’s license and State-required insurance when using personal vehicle on the clinic business and a driving record acceptable to the organization and/or insurance carrier.

V1. Benefits- Only as required by state and federal law.

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Schedule:

• 8 hour shift

Work setting:

• In-person

Work Location: In person