Eligibility Coordinator

Position Summary:
Under general supervision, the Eligibility Coordinator is responsible for screening and determining eligibility for all new and existing patients for all clinic services and programs, while upholding the ASQ (Access, Stewardship, and Quality) pillars at Elevated Community Health (ECH). The Eligibility Coordinator position is eligible for a $2000.00 sign-on bonus.

Essential Functions:

• Screen all new and established patients for eligibility for all clinic services by obtaining information related to the patient's financial status in accordance with established guidelines.
• Exhibit knowledge of programs that uninsured and underinsured low-income individuals may be eligible for and use that knowledge in questioning patients for eligibility.
• Use language and communication methods to enhance the patient's ability to understand all services for which they are eligible, all consents, and their rights and responsibilities. Act as an ongoing resource to patients with questions about financial assistance services.
• Provide clear explanations when patients are found to be ineligible. Collaborate with the management team to reach the best conclusion about eligibility.
• Demonstrate respect for our patients and fellow care team members in every interaction.
• Demonstrate excellent interpersonal and problem-solving skills to ensure coordinated efforts and patient satisfaction.
• Always maintain a professional and positive attitude.
• Demonstrate teamwork and support for fellow care team members by offering assistance as needed.
• Manage the ECH Membership Plan, including registrations, inquiries, enrollment, payments, and other related tasks.

Additional Requirements:

• Grants are vital to ECH revenues and directly or indirectly support all positions. This role may involve responsibilities related to grant deliverables and other tasks. Grants and grant responsibilities may change over Time.
• Complete all the required training as designated by HR and the position supervisor.
• Adhere to all organizational policies and those outlined in the
• ECH Employee Handbook.
• Comply with all ECH Vaccine Mandates.
• Comply with all applicable Credentialing and Privileging requirements in a timely manner.
• Embrace the ECH Mission and Vision and agree to work within the ECH Guiding Principles and the principles set by the position supervisor.
• Must participate in quality assurance and improvement activities as applicable.

Qualifications:
To perform this job successfully, an individual must satisfactorily perform each essential duty. The requirements listed below represent the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Education/Experience:

Must-Haves to be successful:

• Associate's or bachelor's degree or equivalent work experience.
• A bilingual speaker in Spanish and English.
• Proficient in customer service skills, preferably in healthcare, but not required.
• Basic knowledge of digital systems (including Microsoft Office Suite) is required.
• Critical level of attention to detail, organizational skills, and time management.
• Strong conflict resolution skills and ability to de-escalate difficult conversations.
• Ability to work in high-stress situations.

Nice to Have:

• Experience working in a Federally Qualified Health Center (FQHC) or other community health setting.
• Knowledge of Medicaid, CHP , Medicare, and private insurance eligibility processes.
• Knowledge of Colorado-specific healthcare programs and eligibility systems.

Work Environment:
The work environment is in a healthcare setting and can be fast-paced. This involves working directly with patients and healthcare professionals. Many of our patients with chronic disease have a minimal level of health literacy and a significant number of barriers to accessing health care. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job. The noise level in the work environment is usually moderate.

Physical Demands:
The physical demands described here are representative of those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Below are the minimal knowledge/physical requirements of this position.