Eligibility Specialist

$49,982 - $49,982/Yr

Access To Healthcare Network (Ahn) - Las Vegas, NV

Full-time - Entry Level

Hybrid - Las Vegas, NV

Ambulatory Health Care Services

About the position

The Ryan White Eligibility/Non-Medical Case Manager plays a crucial role in improving health outcomes for clients living with HIV/AIDS by providing eligibility determination services and assisting clients in accessing public and private programs. This position involves advocacy, problem-solving, and ensuring clients receive a continuum of care and support while adhering to funding guidelines and reporting requirements.

Responsibilities

• Conduct eligibility screening for potential Ryan White services.
• Assist clients in completing the Ryan White application for initial certification and semi-annual recertification.
• Help consumers fill out the Ryan White Liberty Dental Application for enrollment.
• Prescreen clients for the HIP program to determine qualification for assistance.
• Provide EIVF to consumers and refer to HIP for follow-up.
• Maintain knowledge of non-AHN health care programs such as Medicaid and Medicare.
• Follow up with clients for missing documents needed for eligibility renewals.
• Complete data entry and application uploads for eligibility applications and updates in CAREWare A/B and RWISE.
• Manage an assigned caseload of diverse clients living with HIV/AIDS.
• Schedule future eligibility appointments for consumers before they leave their appointment.
• Field inquiry calls and explain program requirements for Ryan White eligibility.

Requirements

• Bilingual in English and Spanish preferred.
• Valid driver's license and ability to drive the AHN company car when needed.
• Pass a background check through the State of Nevada.
• Obtain Community Health Worker Certification within the first year of employment.
• Obtain an Exchange Enrollment Facilitator License (EEF) within 90 days of employment.
• High school diploma or GED required; Associate's degree preferred.
• One year of experience in health care related social work.
• One year of general office duty experience such as typing and filing.
• Two years of experience with databases and software programs like Microsoft Word, Excel, PowerPoint, and Visio.

Nice-to-haves

• Experience in medical billing and patient coordination preferred.
• Excellent organizational skills.
• Excellent communication and customer service skills.

Benefits

• 403(b) matching
• Paid parental leave
• Paid holidays
• Disability insurance
• Company car
• Health insurance
• Dental insurance
• Tuition reimbursement
• Paid time off
• Vision insurance
• Life insurance