Eligibility Specialist - $24.04

WINNER- 1st PLACE, 2nd YEAR IN A ROW

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Check out our AWESOME Benefits!

4 weeks Paid Time Off in the First Year

Medical, Dental, and Vision benefits - effective 1st DAY OF THE MONTH, following date of hire

Free Health Insurance Options for Full Time Employees

Low Cost Health Insurance Options for Dependents

Health Savings Account

403(b) account with matching

Free Life Insurance ($50k) & Long Term Disability

14 paid holidays annually

Tuition assistance

Continuing Education Support

Additional Perks and Discounts

Job Purpose :

The Eligibility Specialist will assist in improving the health outcomes for clients living with HIV / AIDS, providing eligibility determination services, and assisting clients to obtain access to other public and private programs by enrolling into Ryan White and determine payer source for Aids Drugs Administration Program (ADAP) services.

Abide by all HIPAA requirements.

Client Interaction : Determine eligibility screening requirements for potential Ryan White services to ensure clients are eligible for assistance and prescreen clients for the HIP program. Assist clients with medication and treatment to achieve viral suppression. Assist clients in filling out the Ryan White Liberty Dental Application for enrollment for all eligible clients. Refer clients to case management for core medical and supportive services.

Community Partner Interaction : Develop and maintain effective working relationships with AHN providers, members, program partners and program funders. Ability to be compassionate and professional with staff and partner agencies.

Database Management : Assist with scheduling appointments, maintaining spreadsheets, tracking payer sources for ADAP services. Complete CAREWare, and RWISE data entry and application uploads for all eligibility applications. Complete data entry in pharmacy benefit manager for ADAP services.

Insurance Assistance : Preferred experience with Medicaid, Medicare Part A & B, Nevada Check-Up, and Prescription Drug Programs.

Payment Processing : Assist with Health Insurance Premiums, co-pays or deductibles, tax program, etc.

• Required to pass a background check through the State of
• Subject to Medicare / Medicaid fraud background
• Required to obtain a Community Health Worker course Certification within the first year of employment at the agency's expense.
• Must be able to obtain an Exchange Enrollment Facilitator License (EEF) at the agency's

QUALIFICATIONS :

Physical Requirements :

W ORK E NVIRONMENT

As an equal opportunity employer, we are committed to identifying and developing the skills and leadership of people from diverse backgrounds. We encourage all qualified candidates to apply.

Required to pass a background check through the State of Nevada