An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
An employee in this class performs some combination of patient registration, scheduling, patient checkout, fee/payment collection, accounts reconciliation, insurance, eligibility determination, patient education, WIC voucher disbursement, vital records processing, medical records duties, TennCare enrollment coordination; may also perform some property and procurement or personnel duties.
Education Requirements:
Education equivalent to graduation from a standard high school.
Minimum Qualifications:
Education equivalent to graduation from a standard high school and experience equivalent to two years of full-time customer service delivery and/or clerical office work (medical/healthcare office experience is preferred).
Key Responsibilities:
Complies with and adapts to current state and federal program and policies and all applicable laws. Handles complaints, settles disputes and resolves grievances and conflicts with others. Reviews departmental policies and procedures to keep abreast of any changes, revisions, or additions. Complies with all state and federal program guidelines, policies, and laws to determine eligibility for services. Processes the cash drawer and balance, deposits, credit cards, etc. to ensure fiscal accountability. Reviews documentation such as income, residency, identification, citizenship, and insurance information to determine if client qualifies for services based on information provided. Analyzes and determines eligibility for program services provided by the Department of Health and other referring agencies. Conducts peer training for employees in areas as assigned. Maintains a positive, constructive, and cooperative communication with supervisors, peers or subordinates. Interacts with multiple computer software systems and websites to enter and receive information. Enters collected data into the Health Department management information systems (e.g. EMR, PTBMIS, etc.)
Pay:
From $30,972.00 per year
Benefits:
401(k) Dental insurance Health insurance Paid time off Vision insurance
