Eligibility Coordinator

About the Role

The Eligibility Coordinator supports access to care by ensuring clients maintain continuous and accurate health insurance coverage. This role assists uninsured and underinsured individuals with insurance enrollment, monitors eligibility status, and helps prevent coverage lapses. The Eligibility Coordinator works closely with clinical, intake, and billing teams to ensure accurate insurance information in the electronic health record (EHR) and to support uninterrupted, person-centered care.

Qualifications

Required:

• High school diploma or GED
• 1–2 years of experience in healthcare, social services, or behavioral health
• Experience working with Medicaid, Marketplace, or other public insurance programs
• Experience using electronic health record (EHR) systems
• Client-facing experience supporting diverse and underserved populations
• Certified Application Counselor (CAC), Navigator Certification, or eligible and willing to obtain within 6 months of hire
• Valid New York State Driver’s License and safe driving record
• Ability to travel occasionally between agency sites and community events
• Ability to successfully complete required background checks and Medicaid exclusion screenings

Preferred:

• Associate’s or Bachelor’s degree in Social Work, Human Services, Public Health, or related field
• Familiarity with New York State Medicaid eligibility systems

Skills & Competencies

• Strong interpersonal and client service skills
• Ability to explain complex insurance information in a clear, accessible manner
• Excellent organizational skills and attention to detail
• Strong problem-solving and analytical abilities
• Ability to manage multiple priorities in a fast-paced environment
• High level of integrity and ability to maintain confidentiality
• Commitment to cultural competence, equity, and inclusion
• Strong communication skills and ability to work collaboratively

Key Responsibilities

Insurance Enrollment & Client Support

• Assist clients with applying for and enrolling in Medicaid, Marketplace plans, and other insurance programs
• Educate clients on insurance options, benefits, and renewal requirements
• Support completion of applications and required documentation
• Help clients overcome barriers such as technology access or system navigation

Eligibility Verification & Monitoring

• Conduct routine eligibility checks for active clients
• Track insurance expirations and upcoming renewal dates
• Maintain accurate insurance records in the EHR
• Collaborate with intake and billing teams to resolve coverage issues

Coverage Lapse Prevention & Outreach

• Identify clients at risk of losing coverage and conduct proactive outreach
• Assist clients with reinstatement or re-enrollment after coverage loss
• Document outreach efforts and outcomes in the EHR

Data Integrity & Coordination

• Run reports to audit insurance information for accuracy
• Correct discrepancies in client insurance profiles
• Support compliance with payer and regulatory documentation requirements
• Communicate insurance updates impacting service delivery

Collaboration & Agency Participation

• Work closely with clinical, intake, and billing staff to support continuity of care
• Participate in staff development, supervision, and agency training activities
• Support Continuous Quality Improvement (CQI) initiatives
• Perform other duties as assigned

Work Environment & Schedule

40-hour per week work schedule Monday-Friday. This position involves standard office work with regular use of computers and frequent client interaction (in-person, phone, and electronic communication). Occasional travel may be required for outreach, meetings, or training.

Why Join Us?

At The Family Counseling Center, we don’t just care for our clients - we care for our team. We believe that supporting our staff is essential to providing exceptional care, which is why we foster a culture rooted in compassion, collaboration, and continued growth.

As a trusted nonprofit 501(c)(3) organization, we are proud to offer a wide spectrum of high-quality mental health and social services, with a strong emphasis on meeting the unique needs of children, families, and individuals across our community. Since our founding in response to the growing need for counseling in Fulton County, we have remained committed to creating a safe, supportive, and inclusive environment where both clients and staff can thrive.

Our team is made up of dedicated professionals driven by a shared mission, to empower people on their path toward emotional well-being and a brighter future. We support this mission with competitive compensation, generous benefits, and meaningful opportunities for personal and professional development.

What We Offer:

• Employer-paid Health Insurance (HDHP EE Coverage)
• Fully Paid Individual Dental and Vision Plans
• Agency-paid Life Insurance (equal to your annual salary)
• Flexible Spending Accounts (FSA)
• Health Savings Accounts (HSA) with employer contributions
• Employee Assistance Program (EAP) for mental health and wellness
• Generous Paid Time Off, including a full holiday week between Christmas and New Year’s
• 401(k) Retirement Plan with employer match program
• Ongoing Training, Education, and Staff Engagement Activities

Join a team that values your well-being as much as the well-being of the individuals we serve. At The Family Counseling Center, your work will truly make a difference, every day

Discover more about our culture and values by visiting https://www.thefamilycounselingcenter.org/why-join-us/

Job Type: Full-time

Pay: $22.00 - $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance

Application Question(s):

• How did you find us? (Facebook, LinkedIn, really) or were you referred by one of our amazing staff? If so who?

Education:

• High school or equivalent (Preferred)

License/Certification:

• Certified Application Counselor (CAC) or similiar? (Preferred)

Ability to Commute:

• Gloversville, NY 12078 (Required)

Work Location: In person

Salary : $22 - $24